ROGER D HARBOUR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005371

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

HARBOUR

Business Name

ROGER D HARBOUR

Original Issue Date

03/08/1988

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/14/2007