LAUREN NICOLE CHARBONEAU Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006027

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

NICOLE

Last Name

CHARBONEAU

Business Name

LAUREN NICOLE CHARBONEAU

Original Issue Date

07/17/2012

Effective Date

10/01/2013

Expiration Date

09/30/2015

City

BIG RAPIDS

State

Zip

49307

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/03/2015