LINA B FERNHOLM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007974

License Status

NOT RENEWED

Business

First Name

LINA B

Last Name

FERNHOLM

Business Name

LINA B FERNHOLM

Original Issue Date

01/22/1994

Effective Date

01/22/1994

Expiration Date

09/30/2000

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005