LAUREN M MACMILLAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017419

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

MACMILLAN

Business Name

LAUREN M MACMILLAN

Original Issue Date

09/10/2009

Effective Date

09/04/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016