PRISCILLA J PARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008199

License Status

NOT RENEWED

Business

First Name

PRISCILLA J

Last Name

PARK

Business Name

PRISCILLA J PARK

Original Issue Date

05/11/1994

Effective Date

05/11/1994

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005