TRACY MICHELLE RICHARDSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001508

License Status

NOT RENEWED

Business

First Name

TRACY MICHELLE

Last Name

RICHARDSON

Business Name

TRACY MICHELLE RICHARDSON

Original Issue Date

09/25/1992

Effective Date

09/25/1992

Expiration Date

09/30/1995

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

10/14/2005