TIFFANY ENJOLIE GREEN - Physical Therapist License in Illinois | # 070015306

TIFFANY ENJOLIE GREEN

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015306

License Status

ACTIVE

Business

N

First Name

TIFFANY

Middle

ENJOLIE

Last Name

GREEN

Business Name

TIFFANY ENJOLIE GREEN

Original Issue Date

09/05/2006

Effective Date

09/06/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/06/2024