SAMANTHA M PICKERT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020813

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

PICKERT

Business Name

SAMANTHA M PICKERT

Original Issue Date

08/19/2014

Effective Date

09/24/2018

Expiration Date

09/30/2020

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

01/14/2021