MICHAEL R GRISSOM - Physical Therapist License in Illinois | # 070004539

MICHAEL R GRISSOM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004539

License Status

NOT RENEWED

Business

N

First Name

MICHAEL R

Last Name

GRISSOM

Business Name

MICHAEL R GRISSOM

Original Issue Date

08/16/1985

Effective Date

08/16/1985

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005