Physical Therapist
LICENSED PHYSICAL THERAPIST
070026528
NOT RENEWED CHAPERONE REQUIRED
N
ETHAN
J
LIVINGSTON
ETHAN J LIVINGSTON
03/24/2022
09/14/2022
09/30/2024
IL
Y
02/27/2025
2023001672
Temporary Suspension
05/04/2023
physical therapy license has been temporarily suspended for failing to comply