SUSAN M GIBBS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005934

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

GIBBS

Business Name

SUSAN M GIBBS

Original Issue Date

01/19/1990

Effective Date

01/19/1990

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005