KIRSTEN THALLAUG - Physical Therapist License in Illinois | # 070001796

KIRSTEN THALLAUG

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001796

License Status

NOT RENEWED

Business

N

First Name

KIRSTEN

Last Name

THALLAUG

Business Name

KIRSTEN THALLAUG

Original Issue Date

12/20/1973

Effective Date

12/20/1973

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005