RAPHAELA ROSE EISENBERG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001226

License Status

NOT RENEWED

Business

First Name

RAPHAELA ROSE

Last Name

EISENBERG

Business Name

RAPHAELA ROSE EISENBERG

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005