KARLA J SAMPSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003033

License Status

NOT RENEWED

Business

First Name

KARLA

Middle

Last Name

SAMPSON

Business Name

KARLA J SAMPSON

Original Issue Date

08/13/1998

Effective Date

09/07/2017

Expiration Date

09/30/2019

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/13/2020