JUSTIN D PLUM - Physical Therapist License in Illinois | # 070017641

JUSTIN D PLUM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017641

License Status

NOT RENEWED

Business

N

First Name

JUSTIN

Middle

D

Last Name

PLUM

Business Name

JUSTIN D PLUM

Original Issue Date

02/18/2010

Effective Date

08/20/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013