BRYAN H DONNELLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005158

License Status

NOT RENEWED

Business

First Name

BRYAN H

Last Name

DONNELLY

Business Name

BRYAN H DONNELLY

Original Issue Date

06/29/1987

Effective Date

06/29/1987

Expiration Date

09/30/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005