THERESA BUTLER WALLACE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003499

License Status

ACTIVE

Business

First Name

THERESA

Middle

BUTLER

Last Name

WALLACE

Business Name

THERESA BUTLER WALLACE

Original Issue Date

10/29/1981

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2024