MICHAEL LAWRENCE PHILLIP - Physical Therapist License in Illinois | # 070015934

MICHAEL LAWRENCE PHILLIP

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015934

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

LAWRENCE

Last Name

PHILLIP

Business Name

MICHAEL LAWRENCE PHILLIP

Original Issue Date

08/21/2007

Effective Date

09/06/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014