DWIGHT A BOLES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006039

License Status

NOT RENEWED

Business

First Name

DWIGHT A

Last Name

BOLES

Business Name

DWIGHT A BOLES

Original Issue Date

03/31/1990

Effective Date

03/31/1990

Expiration Date

09/30/1994

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005