KATIE L BRUNTZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005342

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

BRUNTZ

Business Name

KATIE L BRUNTZ

Original Issue Date

11/06/2009

Effective Date

09/25/2013

Expiration Date

09/30/2015

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2015