KRISTIN MICHELLE BRIESE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008196

License Status

NOT RENEWED

Business

First Name

KRISTIN MICHELLE

Last Name

BRIESE

Business Name

KRISTIN MICHELLE BRIESE

Original Issue Date

05/05/1994

Effective Date

05/05/1994

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005