THERESE SOUTHWORTH - Physical Therapist License in Illinois | # 070004371

THERESE SOUTHWORTH

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004371

License Status

ACTIVE

Business

N

First Name

THERESE

Last Name

SOUTHWORTH

Business Name

THERESE SOUTHWORTH

Original Issue Date

01/14/1985

Effective Date

08/29/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/29/2024