ALTA JEAN BURGETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000489

License Status

NOT RENEWED

Business

First Name

ALTA JEAN

Last Name

BURGETT

Business Name

ALTA JEAN BURGETT

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005