LAUREN M MACMILLAN - Physical Therapist License in Illinois | # 070017419

LAUREN M MACMILLAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017419

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Middle

M

Last Name

MACMILLAN

Business Name

LAUREN M MACMILLAN

Original Issue Date

09/10/2009

Effective Date

09/04/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

11/26/2016