MARY ELLEN GREEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005875

License Status

ACTIVE

Business

First Name

MARY ELLEN

Last Name

GREEN

Business Name

MARY ELLEN GREEN

Original Issue Date

01/12/1990

Effective Date

09/21/2024

Expiration Date

09/30/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/21/2024