SARA MICHELLE POWELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014215

License Status

NOT RENEWED

Business

First Name

SARA

Middle

MICHELLE

Last Name

POWELL

Business Name

SARA MICHELLE POWELL

Original Issue Date

11/08/2004

Effective Date

09/05/2012

Expiration Date

09/30/2014

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014