MICHELLE M JANSSEN BROST Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003525

License Status

NOT RENEWED

Business

First Name

MICHELLE M

Middle

JANSSEN

Last Name

BROST

Business Name

MICHELLE M JANSSEN BROST

Original Issue Date

10/29/1981

Effective Date

08/26/2014

Expiration Date

09/30/2016

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016