MARY J RANDALL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004446

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

RANDALL

Business Name

MARY J RANDALL

Original Issue Date

08/09/2005

Effective Date

09/16/2013

Expiration Date

09/30/2015

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/06/2015