SARA MARIE ERICKSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007034

License Status

NOT RENEWED

Business

First Name

SARA MARIE

Last Name

ERICKSEN

Business Name

SARA MARIE ERICKSEN

Original Issue Date

06/19/1992

Effective Date

06/19/1992

Expiration Date

09/30/1994

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005