TAMARA K WILSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011150

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

WILSON

Business Name

TAMARA K WILSON

Original Issue Date

02/23/1999

Effective Date

02/23/1999

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005