CONNIE MARIE PIPER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004280

License Status

INACTIVE

Business

First Name

CONNIE

Middle

MARIE

Last Name

PIPER

Business Name

CONNIE MARIE PIPER

Original Issue Date

03/08/2004

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

07/05/2007