KATHLEEN MARGARET RUSSO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018546

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARGARET

Last Name

RUSSO

Business Name

KATHLEEN MARGARET RUSSO

Original Issue Date

07/12/2011

Effective Date

09/14/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014