LESLIE ANN ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011396

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

ANN

Last Name

ANDERSON

Business Name

LESLIE ANN ANDERSON

Original Issue Date

07/23/1999

Effective Date

09/07/2010

Expiration Date

09/30/2012

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/16/2013