ANDREA L MONTGOMERY - Physical Therapist License in Illinois | # 160002772

ANDREA L MONTGOMERY

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002772

License Status

INACTIVE

Business

N

First Name

ANDREA

Middle

L

Last Name

MONTGOMERY

Business Name

ANDREA L MONTGOMERY

Original Issue Date

09/11/1997

Effective Date

09/11/1997

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005