SUSAN L WAIYAKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010816

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

WAIYAKI

Business Name

SUSAN L WAIYAKI

Original Issue Date

09/18/1998

Effective Date

09/25/2014

Expiration Date

09/30/2016

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016