DOUGLAS J MEYROSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013795

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

MEYROSE

Business Name

DOUGLAS J MEYROSE

Original Issue Date

02/11/2004

Effective Date

07/30/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010