ELIZABETH R VANDENBROEK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013364

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

VANDENBROEK

Business Name

ELIZABETH R VANDENBROEK

Original Issue Date

02/11/2003

Effective Date

09/20/2010

Expiration Date

09/30/2012

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/16/2013