WIPA APHICHONBANCHA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007188

License Status

ACTIVE

Business

First Name

WIPA

Last Name

APHICHONBANCHA

Business Name

WIPA APHICHONBANCHA

Original Issue Date

10/01/1992

Effective Date

08/03/2024

Expiration Date

09/30/2026

City

MORTON GROVE

State

Zip

60053

Ever Disciplined

LastModifiedDate

08/03/2024