BR WENDELIN BLONG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000259

License Status

NOT RENEWED

Business

First Name

BR WENDELIN

Last Name

BLONG

Business Name

BR WENDELIN BLONG

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005