AMY E RENKEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007350

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

RENKEN

Business Name

AMY E RENKEN

Original Issue Date

01/20/1993

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2006