ELLEN C BUCHANAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006053

License Status

ACTIVE

Business

First Name

ELLEN

Middle

Last Name

BUCHANAN

Business Name

ELLEN C BUCHANAN

Original Issue Date

04/06/1990

Effective Date

07/10/2024

Expiration Date

09/30/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2024