EMILY J BJORNSTAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014217

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

BJORNSTAD

Business Name

EMILY J BJORNSTAD

Original Issue Date

11/09/2004

Effective Date

09/02/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/20/2012

Case Number

2011007208

Action

Suspension

Discipline Start Date

10/21/2011

Discipline End Date

01/19/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/20/2012.