STEPHEN STANLEY POTISUK - Physical Therapist License in Illinois | # 070011469

STEPHEN STANLEY POTISUK

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011469

License Status

ACTIVE

Business

N

First Name

STEPHEN

Middle

STANLEY

Last Name

POTISUK

Business Name

STEPHEN STANLEY POTISUK

Original Issue Date

09/13/1999

Effective Date

09/22/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2024