MARTIN T CAPPELLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012548

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

Last Name

CAPPELLE

Business Name

MARTIN T CAPPELLE

Original Issue Date

07/31/2001

Effective Date

07/31/2001

Expiration Date

09/30/2004

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005