GLENDALYNE A ROMA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012132

License Status

NOT RENEWED

Business

First Name

GLENDALYNE

Middle

Last Name

ROMA

Business Name

GLENDALYNE A ROMA

Original Issue Date

09/25/2000

Effective Date

09/25/2000

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005