VIRGINIA M DORAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002040

License Status

NOT RENEWED

Business

First Name

VIRGINIA M

Last Name

DORAN

Business Name

VIRGINIA M DORAN

Original Issue Date

08/21/1975

Effective Date

08/21/1975

Expiration Date

09/30/2004

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005