TIANCHAI LERTRATANAKUL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007047

License Status

NOT RENEWED

Business

First Name

TIANCHAI

Last Name

LERTRATANAKUL

Business Name

TIANCHAI LERTRATANAKUL

Original Issue Date

07/15/1992

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022