MARISA MIKAELIAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004935

License Status

ACTIVE

Business

First Name

MARISA

Last Name

MIKAELIAN

Business Name

MARISA MIKAELIAN

Original Issue Date

01/10/1987

Effective Date

07/17/2024

Expiration Date

09/30/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

07/17/2024