HYACINTH E WALLACE - Physical Therapist License in Illinois | # 070020939

HYACINTH E WALLACE

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020939

License Status

INACTIVE

Business

N

First Name

HYACINTH

Middle

E

Last Name

WALLACE

Business Name

HYACINTH E WALLACE

Original Issue Date

08/22/2014

Effective Date

08/22/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/06/2016