DANA L MONTGOMERY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002386

License Status

INACTIVE

Business

First Name

DANA L

Last Name

MONTGOMERY

Business Name

DANA L MONTGOMERY

Original Issue Date

01/13/1996

Effective Date

01/13/1996

Expiration Date

09/30/1997

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

10/14/2005