VERENA K GROSSMANN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000215

License Status

NOT RENEWED

Business

First Name

VERENA K

Last Name

GROSSMANN

Business Name

VERENA K GROSSMANN

Original Issue Date

07/05/1991

Effective Date

07/05/1991

Expiration Date

09/30/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005