BRANDON M LUM - Physical Therapist License in Illinois | # 070015739

BRANDON M LUM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015739

License Status

NOT RENEWED

Business

N

First Name

BRANDON

Middle

M

Last Name

LUM

Business Name

BRANDON M LUM

Original Issue Date

04/30/2007

Effective Date

09/22/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2010