SUSAN MARIE FONKEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018350

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

FONKEN

Business Name

SUSAN MARIE FONKEN

Original Issue Date

03/16/2011

Effective Date

07/30/2012

Expiration Date

09/30/2014

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014