SAMUEL S ADAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004296

License Status

NOT RENEWED

Business

First Name

SAMUEL S

Last Name

ADAM

Business Name

SAMUEL S ADAM

Original Issue Date

12/17/1984

Effective Date

12/17/1984

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005