SIGURD T SLAASTAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010307

License Status

NOT RENEWED

Business

First Name

SIGURD T

Last Name

SLAASTAD

Business Name

SIGURD T SLAASTAD

Original Issue Date

10/23/1997

Effective Date

10/23/1997

Expiration Date

09/30/2002

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/20/2020