JUDY ANN GREEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012273

License Status

NOT RENEWED

Business

First Name

JUDY

Middle

ANN

Last Name

GREEN

Business Name

JUDY ANN GREEN

Original Issue Date

01/04/2001

Effective Date

01/04/2001

Expiration Date

09/30/2004

City

WHITE HEATH

State

Zip

61884

County

PIATT

Ever Disciplined

LastModifiedDate

10/17/2005