ANGELA M BOTTRELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002635

License Status

NOT RENEWED

Business

First Name

ANGELA M

Last Name

BOTTRELL

Business Name

ANGELA M BOTTRELL

Original Issue Date

05/01/1978

Effective Date

05/01/1978

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005