LARA C THOLLOT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006424

License Status

NOT RENEWED

Business

First Name

LARA C

Last Name

THOLLOT

Business Name

LARA C THOLLOT

Original Issue Date

04/26/1991

Effective Date

04/26/1991

Expiration Date

09/30/1994

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005