AUDREY D SLAVEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003955

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

Last Name

SLAVEN

Business Name

AUDREY D SLAVEN

Original Issue Date

11/20/2001

Effective Date

09/08/2009

Expiration Date

09/30/2011

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

11/04/2011