PER A BACKSTROM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004494

License Status

NOT RENEWED

Business

First Name

PER A

Last Name

BACKSTROM

Business Name

PER A BACKSTROM

Original Issue Date

05/09/1985

Effective Date

05/09/1985

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005