LEAH SUSAN IRVIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011283

License Status

INACTIVE

Business

First Name

LEAH

Middle

SUSAN

Last Name

IRVIN

Business Name

LEAH SUSAN IRVIN

Original Issue Date

04/29/1999

Effective Date

09/29/2008

Expiration Date

09/30/2010

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

07/08/2010