BEVERLY D SAMPLES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002316

License Status

NOT RENEWED

Business

First Name

BEVERLY D

Last Name

SAMPLES

Business Name

BEVERLY D SAMPLES

Original Issue Date

10/02/1995

Effective Date

10/02/1995

Expiration Date

09/30/1999

City

HANOVER PARK

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005