MEGAN M RUSSO - Physical Therapist License in Illinois | # 160006958

MEGAN M RUSSO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006958

License Status

NOT RENEWED

Business

N

First Name

MEGAN

Middle

M

Last Name

RUSSO

Business Name

MEGAN M RUSSO

Original Issue Date

10/24/2014

Effective Date

09/10/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

02/02/2024