LAURIE G CARROLL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002889

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

Last Name

CARROLL

Business Name

LAURIE G CARROLL

Original Issue Date

11/21/1997

Effective Date

11/21/1997

Expiration Date

09/30/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005