SUSAN M WICHMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006108

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

WICHMAN

Business Name

SUSAN M WICHMAN

Original Issue Date

07/14/1990

Effective Date

07/14/1990

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005