MICHELLE DYONNE BURCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018834

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

DYONNE

Last Name

BURCH

Business Name

MICHELLE DYONNE BURCH

Original Issue Date

10/26/2011

Effective Date

09/17/2012

Expiration Date

09/30/2014

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014