LINA B FERNHOLM - Physical Therapist License in Illinois | # 070007974

LINA B FERNHOLM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007974

License Status

NOT RENEWED

Business

N

First Name

LINA B

Last Name

FERNHOLM

Business Name

LINA B FERNHOLM

Original Issue Date

01/22/1994

Effective Date

01/22/1994

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005