HYACINTH E WALLACE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020939

License Status

INACTIVE

Business

First Name

HYACINTH

Middle

Last Name

WALLACE

Business Name

HYACINTH E WALLACE

Original Issue Date

08/22/2014

Effective Date

08/22/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2016