EMMYLOU SARROCA CAMUTIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011193

License Status

NOT RENEWED

Business

First Name

EMMYLOU

Middle

SARROCA

Last Name

CAMUTIN

Business Name

EMMYLOU SARROCA CAMUTIN

Original Issue Date

03/12/1999

Effective Date

03/12/1999

Expiration Date

09/30/2002

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005