AMANDA M BORNEMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017906

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BORNEMAN

Business Name

AMANDA M BORNEMAN

Original Issue Date

07/21/2010

Effective Date

07/21/2010

Expiration Date

09/30/2012

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/16/2013