LISA R PERIOLAT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010587

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

PERIOLAT

Business Name

LISA R PERIOLAT

Original Issue Date

05/04/1998

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

07/04/2024