CYNTHIA J CHURCHILL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001800

License Status

NOT RENEWED

Business

First Name

CYNTHIA J

Last Name

CHURCHILL

Business Name

CYNTHIA J CHURCHILL

Original Issue Date

09/29/1993

Effective Date

09/26/2013

Expiration Date

09/30/2015

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

11/03/2015