ADELLA S DEACON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014653

License Status

NOT RENEWED

Business

First Name

ADELLA

Middle

Last Name

DEACON

Business Name

ADELLA S DEACON

Original Issue Date

09/27/2005

Effective Date

09/27/2022

Expiration Date

09/30/2024

City

MILWAUKEE

State

Zip

53233

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2025