CHARLOTTE JOHANNA HIRT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011528

License Status

NOT RENEWED

Business

First Name

CHARLOTTE

Middle

JOHANNA

Last Name

HIRT

Business Name

CHARLOTTE JOHANNA HIRT

Original Issue Date

10/06/1999

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/06/2008