SUZANNE M DOUGLAS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009043

License Status

NOT RENEWED

Business

First Name

SUZANNE M

Last Name

DOUGLAS

Business Name

SUZANNE M DOUGLAS

Original Issue Date

09/07/1995

Effective Date

09/07/1995

Expiration Date

09/30/1998

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/14/2005