MIRIAM PIA BOELEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002790

License Status

NOT RENEWED

Business

First Name

MIRIAM PIA

Last Name

BOELEN

Business Name

MIRIAM PIA BOELEN

Original Issue Date

12/18/1978

Effective Date

07/18/2018

Expiration Date

09/30/2020

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021