THERESA R EIDEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007514

License Status

ACTIVE

Business

First Name

THERESA R

Last Name

EIDEN

Business Name

THERESA R EIDEN

Original Issue Date

05/03/1993

Effective Date

09/29/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/29/2024