JOHN B MEDLOCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001417

License Status

NOT RENEWED

Business

First Name

JOHN B

Last Name

MEDLOCK

Business Name

JOHN B MEDLOCK

Original Issue Date

03/05/1992

Effective Date

10/02/2015

Expiration Date

09/30/2017

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017