LEEVI F BURNETT - Physical Therapist License in Illinois | # 160006315

LEEVI F BURNETT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006315

License Status

NOT RENEWED

Business

N

First Name

LEEVI

Middle

F

Last Name

BURNETT

Business Name

LEEVI F BURNETT

Original Issue Date

12/14/2012

Effective Date

10/02/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020