MICHAEL W CARBON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014541

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CARBON

Business Name

MICHAEL W CARBON

Original Issue Date

08/08/2005

Effective Date

08/27/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010