BRANDON M LUM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015739

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

LUM

Business Name

BRANDON M LUM

Original Issue Date

04/30/2007

Effective Date

09/22/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010