CAROLE J FORTMAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007201

License Status

ACTIVE

Business

First Name

CAROLE J

Last Name

FORTMAN

Business Name

CAROLE J FORTMAN

Original Issue Date

10/07/1992

Effective Date

07/17/2024

Expiration Date

09/30/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2024