ANDREA B WHITE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003706

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

WHITE

Business Name

ANDREA B WHITE

Original Issue Date

10/18/2000

Effective Date

10/18/2000

Expiration Date

09/30/2003

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005