TIFFANY K GRUNEWALD - Physical Therapist License in Illinois | # 070014602

TIFFANY K GRUNEWALD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014602

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

K

Last Name

GRUNEWALD

Business Name

TIFFANY K GRUNEWALD

Original Issue Date

09/06/2005

Effective Date

08/04/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022