DEBORAH A REVOLTA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004196

License Status

ACTIVE

Business

First Name

DEBORAH A

Last Name

REVOLTA

Business Name

DEBORAH A REVOLTA

Original Issue Date

05/08/1984

Effective Date

07/05/2024

Expiration Date

09/30/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

07/05/2024