ADRIENNE L BURNETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004547

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

Last Name

BURNETT

Business Name

ADRIENNE L BURNETT

Original Issue Date

01/31/2006

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/25/2008