MICHELLE LYNN BURGMANN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004486

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

LYNN

Last Name

BURGMANN

Business Name

MICHELLE LYNN BURGMANN

Original Issue Date

09/14/2005

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/04/2009