JUSTIN D PLUM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017641

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

PLUM

Business Name

JUSTIN D PLUM

Original Issue Date

02/18/2010

Effective Date

08/20/2010

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/16/2013