LAURIE DRAKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008205

License Status

NOT RENEWED

Business

First Name

LAURIE

Last Name

DRAKE

Business Name

LAURIE DRAKE

Original Issue Date

05/27/1994

Effective Date

08/02/2012

Expiration Date

09/30/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014