MICHELLE LYNN BURGMANN - Physical Therapist License in Illinois | # 160004486

MICHELLE LYNN BURGMANN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004486

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

LYNN

Last Name

BURGMANN

Business Name

MICHELLE LYNN BURGMANN

Original Issue Date

09/14/2005

Effective Date

07/05/2007

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009