MICHELLE K BORNEMAN - Physical Therapist License in Illinois | # 070007119

MICHELLE K BORNEMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007119

License Status

NOT RENEWED

Business

N

First Name

MICHELLE K

Last Name

BORNEMAN

Business Name

MICHELLE K BORNEMAN

Original Issue Date

09/25/1992

Effective Date

09/25/1992

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005