MITCHELL TANNENBAUM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002363

License Status

NOT RENEWED

Business

First Name

MITCHELL

Last Name

TANNENBAUM

Business Name

MITCHELL TANNENBAUM

Original Issue Date

01/13/1977

Effective Date

07/01/2022

Expiration Date

09/30/2024

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/27/2025