KARLEEN MARIE HAVRILLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012771

License Status

NOT RENEWED

Business

First Name

KARLEEN

Middle

MARIE

Last Name

HAVRILLA

Business Name

KARLEEN MARIE HAVRILLA

Original Issue Date

12/03/2001

Effective Date

07/17/2008

Expiration Date

09/30/2010

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/08/2010