SUZANNE L SOUHRADA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000198

License Status

NOT RENEWED

Business

First Name

SUZANNE L

Last Name

SOUHRADA

Business Name

SUZANNE L SOUHRADA

Original Issue Date

07/03/1991

Effective Date

07/03/1991

Expiration Date

09/30/2003

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005