SURAT TANANUPABPAISAL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006650

License Status

NOT RENEWED

Business

First Name

SURAT

Last Name

TANANUPABPAISAL

Business Name

SURAT TANANUPABPAISAL

Original Issue Date

10/02/1991

Effective Date

09/02/2008

Expiration Date

09/30/2010

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010