DONNA B GREEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001658

License Status

NOT RENEWED

Business

First Name

DONNA B

Last Name

GREEN

Business Name

DONNA B GREEN

Original Issue Date

02/03/1993

Effective Date

02/03/1993

Expiration Date

09/30/2001

City

KILDEER

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005