LISA P BOUGHNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006164

License Status

NOT RENEWED

Business

First Name

LISA P

Last Name

BOUGHNER

Business Name

LISA P BOUGHNER

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005