LORAINE M DEBOOM Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014177

License Status

INACTIVE

Business

First Name

LORAINE

Middle

Last Name

DEBOOM

Business Name

LORAINE M DEBOOM

Original Issue Date

10/05/2004

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

ALTOONA

State

Zip

50009

County

IOWA

Ever Disciplined

LastModifiedDate

07/10/2008