Susan R Provost

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

070011402

Status

Active

First issued

July 30, 1999

Expires

September 30, 2028

License holder

Susan R Provost

Entity type

Individual

Classifications

• Licensed Physical Therapist Therapy & Rehabilitation

More from the license record

Current term began

08/20/2026

Other Illinois licenses under this name

• IL
  Susan R Provost

  License 041227206

  Registered Professional Nurse (Nursing Board)
  Expired

  Frankfort, IL

  Expired May 31, 2012

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