PAMELA S DORMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001170

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

DORMAN

Business Name

PAMELA S DORMAN

Original Issue Date

12/17/1991

Effective Date

08/28/2013

Expiration Date

09/30/2015

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2015