HEATHER L CAPULONG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009058

License Status

ACTIVE

Business

First Name

HEATHER L

Last Name

CAPULONG

Business Name

HEATHER L CAPULONG

Original Issue Date

09/11/1995

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

09/17/2024