CAROLYN A SUBRT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003116

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

Last Name

SUBRT

Business Name

CAROLYN A SUBRT

Original Issue Date

10/01/1998

Effective Date

10/01/1998

Expiration Date

09/30/2003

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005