TAMARA ILYSE STILLMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012777

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

ILYSE

Last Name

STILLMAN

Business Name

TAMARA ILYSE STILLMAN

Original Issue Date

12/04/2001

Effective Date

12/04/2001

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005