RAVADEE INPHOM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006298

License Status

ACTIVE

Business

First Name

RAVADEE

Last Name

INPHOM

Business Name

RAVADEE INPHOM

Original Issue Date

01/04/1991

Effective Date

08/01/2024

Expiration Date

09/30/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2024