CARLINE N FOMBY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011484

License Status

ACTIVE

Business

First Name

CARLINE

Middle

Last Name

FOMBY

Business Name

CARLINE N FOMBY

Original Issue Date

09/16/1999

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/12/2024