ANDREA L SURFACE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002333

License Status

NOT RENEWED

Business

First Name

ANDREA L

Last Name

SURFACE

Business Name

ANDREA L SURFACE

Original Issue Date

11/07/1995

Effective Date

11/07/1995

Expiration Date

09/30/2001

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005