FRED W THOMPSON - Physical Therapist License in Illinois | # 160003020

FRED W THOMPSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003020

License Status

NOT RENEWED

Business

N

First Name

FRED

Middle

W

Last Name

THOMPSON

Business Name

FRED W THOMPSON

Original Issue Date

07/13/1998

Effective Date

07/13/1998

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005