LARRY R CRIST Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004366

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

CRIST

Business Name

LARRY R CRIST

Original Issue Date

11/05/2004

Effective Date

09/23/2019

Expiration Date

01/31/2022

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022