AMANDA M BORNEMAN - Physical Therapist License in Illinois | # 070017906

AMANDA M BORNEMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017906

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

M

Last Name

BORNEMAN

Business Name

AMANDA M BORNEMAN

Original Issue Date

07/21/2010

Effective Date

07/21/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013