LEEVI F BURNETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006315

License Status

NOT RENEWED

Business

First Name

LEEVI

Middle

Last Name

BURNETT

Business Name

LEEVI F BURNETT

Original Issue Date

12/14/2012

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

MCLEANSBORO

State

Zip

62859

County

WHITE

Ever Disciplined

LastModifiedDate

01/13/2020