MICHELLE L BALLAN - Physical Therapist License in Illinois | # 070012035

MICHELLE L BALLAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012035

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

L

Last Name

BALLAN

Business Name

MICHELLE L BALLAN

Original Issue Date

08/10/2000

Effective Date

08/10/2000

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005