DENISE M AMSRUD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014023

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

AMSRUD

Business Name

DENISE M AMSRUD

Original Issue Date

07/22/2004

Effective Date

09/08/2016

Expiration Date

09/30/2018

City

PALATINE

State

Zip

60067

County

LAKE

Ever Disciplined

LastModifiedDate

12/05/2018