PATTI MARILYN ROTH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003196

License Status

INACTIVE

Business

First Name

PATTI MARILYN

Last Name

ROTH

Business Name

PATTI MARILYN ROTH

Original Issue Date

07/28/1980

Effective Date

08/11/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2022