DONNA CAMPBELL FORTUNE - Physical Therapist License in Illinois | # 070001617

DONNA CAMPBELL FORTUNE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001617

License Status

NOT RENEWED

Business

N

First Name

DONNA CAMPBELL

Last Name

FORTUNE

Business Name

DONNA CAMPBELL FORTUNE

Original Issue Date

12/22/1972

Effective Date

12/22/1972

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005