WILAILUCK TACHASATID Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007651

License Status

INACTIVE

Business

First Name

WILAILUCK

Last Name

TACHASATID

Business Name

WILAILUCK TACHASATID

Original Issue Date

06/09/1993

Effective Date

06/09/1993

Expiration Date

09/30/2000

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005