PENELOPE J.M. CLAIBORNE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008058

License Status

INACTIVE

Business

First Name

PENELOPE

Middle

J.M.

Last Name

CLAIBORNE

Business Name

PENELOPE J.M. CLAIBORNE

Original Issue Date

02/01/1994

Effective Date

02/01/1994

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005