CHARLES C BOEYINK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010508

License Status

NOT RENEWED

Business

First Name

CHARLES C

Last Name

BOEYINK

Business Name

CHARLES C BOEYINK

Original Issue Date

03/12/1998

Effective Date

03/12/1998

Expiration Date

09/30/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005