TIANCHAI LERTRATANAKUL - Physical Therapist License in Illinois | # 070007047

TIANCHAI LERTRATANAKUL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007047

License Status

NOT RENEWED

Business

N

First Name

TIANCHAI

Last Name

LERTRATANAKUL

Business Name

TIANCHAI LERTRATANAKUL

Original Issue Date

07/15/1992

Effective Date

09/28/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022