DYLAN A HUMBURG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021844

License Status

NOT RENEWED

Business

First Name

DYLAN

Middle

Last Name

HUMBURG

Business Name

DYLAN A HUMBURG

Original Issue Date

09/29/2015

Effective Date

05/06/2019

Expiration Date

09/30/2020

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021