JAN KENNETH C BANTING Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023937

License Status

NOT RENEWED

Business

First Name

JAN KENNETH

Middle

Last Name

BANTING

Business Name

JAN KENNETH C BANTING

Original Issue Date

09/04/2018

Effective Date

09/04/2018

Expiration Date

09/30/2020

City

ARLINGTON HEIGHTS

State

Zip

60004

Ever Disciplined

LastModifiedDate

01/14/2021