AMY L SALEM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009391

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

SALEM

Business Name

AMY L SALEM

Original Issue Date

03/07/1996

Effective Date

03/07/1996

Expiration Date

09/30/2000

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005