THERESE SOUTHWORTH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004371

License Status

ACTIVE

Business

First Name

THERESE

Last Name

SOUTHWORTH

Business Name

THERESE SOUTHWORTH

Original Issue Date

01/14/1985

Effective Date

08/29/2024

Expiration Date

09/30/2026

City

DOWNERS GROVE

State

Zip

60515

Ever Disciplined

LastModifiedDate

08/29/2024