SHANE W IRGENS - Physical Therapist License in Illinois | # 070018218

SHANE W IRGENS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018218

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

W

Last Name

IRGENS

Business Name

SHANE W IRGENS

Original Issue Date

11/22/2010

Effective Date

11/22/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013