CHARLENE P VAN DRIL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004603

License Status

NOT RENEWED

Business

First Name

CHARLENE P

Last Name

VAN DRIL

Business Name

CHARLENE P VAN DRIL

Original Issue Date

11/25/1985

Effective Date

11/25/1985

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005