TIFFANIE V DUCOTAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017787

License Status

NOT RENEWED

Business

First Name

TIFFANIE

Middle

Last Name

DUCOTAN

Business Name

TIFFANIE V DUCOTAN

Original Issue Date

05/25/2010

Effective Date

09/11/2014

Expiration Date

09/30/2016

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016