JANICE F BURGESS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002477

License Status

NOT RENEWED

Business

First Name

JANICE F

Last Name

BURGESS

Business Name

JANICE F BURGESS

Original Issue Date

09/26/1996

Effective Date

09/04/2015

Expiration Date

09/30/2017

City

GREEN VALLEY

State

Zip

61534

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/01/2017