PIERRE M BOURGUIGNON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011855

License Status

NOT RENEWED

Business

First Name

PIERRE

Middle

Last Name

BOURGUIGNON

Business Name

PIERRE M BOURGUIGNON

Original Issue Date

03/31/2000

Effective Date

07/03/2014

Expiration Date

09/30/2016

City

WAUKEGAN

State

Zip

60087

Ever Disciplined

LastModifiedDate

11/26/2016