KRISTIN MICHELLE BRIESE - Physical Therapist License in Illinois | # 070008196

KRISTIN MICHELLE BRIESE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008196

License Status

NOT RENEWED

Business

N

First Name

KRISTIN MICHELLE

Last Name

BRIESE

Business Name

KRISTIN MICHELLE BRIESE

Original Issue Date

05/05/1994

Effective Date

05/05/1994

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005