ERINN E PANVENO - Physical Therapist License in Illinois | # 070012295

ERINN E PANVENO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012295

License Status

INACTIVE

Business

N

First Name

ERINN

Middle

E

Last Name

PANVENO

Business Name

ERINN E PANVENO

Original Issue Date

01/23/2001

Effective Date

08/04/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2010