LAURETTE LUCILLE PEPIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012782

License Status

NOT RENEWED

Business

First Name

LAURETTE

Middle

LUCILLE

Last Name

PEPIN

Business Name

LAURETTE LUCILLE PEPIN

Original Issue Date

12/10/2001

Effective Date

12/10/2001

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005