DONNA P VANBRUWAENE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001396

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

VANBRUWAENE

Business Name

DONNA P VANBRUWAENE

Original Issue Date

01/29/1992

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

01/13/2020