MARY E FORAL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004568

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

FORAL

Business Name

MARY E FORAL

Original Issue Date

10/08/1985

Effective Date

10/08/1985

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005