PHOENIX PHILIP - Physical Therapist License in Illinois | # 160006223

PHOENIX PHILIP

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006223

License Status

NOT RENEWED

Business

N

First Name

PHOENIX

Last Name

PHILIP

Business Name

PHOENIX PHILIP

Original Issue Date

11/08/2012

Effective Date

07/09/2013

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2015