KIRSTEN THALLAUG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001796

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Last Name

THALLAUG

Business Name

KIRSTEN THALLAUG

Original Issue Date

12/20/1973

Effective Date

12/20/1973

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005