LARS SAMUELSSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008410

License Status

NOT RENEWED

Business

First Name

LARS

Last Name

SAMUELSSON

Business Name

LARS SAMUELSSON

Original Issue Date

09/29/1994

Effective Date

09/29/1994

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005