SUZANNE ESTELLE WEAVER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002056

License Status

NOT RENEWED

Business

First Name

SUZANNE ESTELLE

Last Name

WEAVER

Business Name

SUZANNE ESTELLE WEAVER

Original Issue Date

12/02/1994

Effective Date

12/02/1994

Expiration Date

09/30/1995

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005