KEVIN RISEBOROUGH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008163

License Status

NOT RENEWED

Business

First Name

KEVIN

Last Name

RISEBOROUGH

Business Name

KEVIN RISEBOROUGH

Original Issue Date

04/25/1994

Effective Date

04/25/1994

Expiration Date

09/30/2000

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005