CHAD M RANDOLPH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007949

License Status

ACTIVE

Business

First Name

CHAD M

Last Name

RANDOLPH

Business Name

CHAD M RANDOLPH

Original Issue Date

01/21/1994

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

09/03/2024