GILLIAN H DEN HAESE - Physical Therapist License in Illinois | # 070008816

GILLIAN H DEN HAESE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008816

License Status

NOT RENEWED

Business

N

First Name

GILLIAN H

Last Name

DEN HAESE

Business Name

GILLIAN H DEN HAESE

Original Issue Date

05/15/1995

Effective Date

05/15/1995

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005