SUSAN SLOCUM BLAIR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010076

License Status

NOT RENEWED

Business

First Name

SUSAN SLOCUM

Last Name

BLAIR

Business Name

SUSAN SLOCUM BLAIR

Original Issue Date

04/10/1997

Effective Date

09/04/2012

Expiration Date

09/30/2014

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014