TERESA D FENTON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003431

License Status

INACTIVE

Business

First Name

TERESA

Middle

Last Name

FENTON

Business Name

TERESA D FENTON

Original Issue Date

10/07/1999

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

07/05/2007