CONNIE S KAUFMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001270

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

KAUFMAN

Business Name

CONNIE S KAUFMAN

Original Issue Date

12/30/1991

Effective Date

09/27/2011

Expiration Date

09/30/2013

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/12/2013