PAUL R TRUMBULL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007148

License Status

INACTIVE

Business

First Name

PAUL R

Last Name

TRUMBULL

Business Name

PAUL R TRUMBULL

Original Issue Date

09/25/1992

Effective Date

09/13/2012

Expiration Date

09/30/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014