AMBER M HAGARBOME Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018313

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

HAGARBOME

Business Name

AMBER M HAGARBOME

Original Issue Date

02/22/2011

Effective Date

07/09/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014