ALTA JEAN BURGETT - Physical Therapist License in Illinois | # 070000489

ALTA JEAN BURGETT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000489

License Status

NOT RENEWED

Business

N

First Name

ALTA JEAN

Last Name

BURGETT

Business Name

ALTA JEAN BURGETT

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005