MICHELLE K BORNEMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007119

License Status

NOT RENEWED

Business

First Name

MICHELLE K

Last Name

BORNEMAN

Business Name

MICHELLE K BORNEMAN

Original Issue Date

09/25/1992

Effective Date

09/25/1992

Expiration Date

09/30/1998

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005