MICHAEL DAVID DENNISON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003297

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

DENNISON

Business Name

MICHAEL DAVID DENNISON

Original Issue Date

02/04/1999

Effective Date

02/04/1999

Expiration Date

09/30/2001

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005