KRISTIN A LARSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006394

License Status

NOT RENEWED

Business

First Name

KRISTIN A

Last Name

LARSON

Business Name

KRISTIN A LARSON

Original Issue Date

03/09/1991

Effective Date

03/09/1991

Expiration Date

09/30/2004

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005