HEATHER M PEACOCK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007478

License Status

INACTIVE

Business

First Name

HEATHER

Middle

Last Name

PEACOCK

Business Name

HEATHER M PEACOCK

Original Issue Date

05/04/2016

Effective Date

05/04/2016

Expiration Date

09/30/2017

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2017