Physical Therapist
LICENSED PHYSICAL THERAPIST ASSISTANT
160000933
NOT RENEWED
N
VIRSIE
L
COLQUITT
JR
VIRSIE L COLQUITT JR
11/07/1991
08/22/2013
09/30/2015
HARVEY
IL
60426
COOK
Y
11/03/2015
2009002839
Suspension
05/26/2009
09/10/2009
Failure to file and/or pay Illinois state income taxes. Notice of tax release received from Department of Revenue.