LUCKY DENENGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015926

License Status

NOT RENEWED

Business

First Name

LUCKY

Last Name

DENENGA

Business Name

LUCKY DENENGA

BusinessDBA

DENENGA

Original Issue Date

08/21/2007

Effective Date

07/10/2008

Expiration Date

09/30/2010

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/08/2010