DEEPA S MATHEW Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012126

License Status

NOT RENEWED

Business

First Name

DEEPA

Middle

Last Name

MATHEW

Business Name

DEEPA S MATHEW

Original Issue Date

09/20/2000

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008