MICHELLE LYNN VANDEGRAFT - Physical Therapist License in Illinois | # 160003343

MICHELLE LYNN VANDEGRAFT

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003343

License Status

INACTIVE

Business

N

First Name

MICHELLE

Middle

LYNN

Last Name

VANDEGRAFT

Business Name

MICHELLE LYNN VANDEGRAFT

Original Issue Date

05/10/1999

Effective Date

05/10/1999

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005