JARTUPORN INTARAKUMHANG - Physical Therapist License in Illinois | # 070011835

JARTUPORN INTARAKUMHANG

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011835

License Status

ACTIVE

Business

N

First Name

JARTUPORN

Last Name

INTARAKUMHANG

Business Name

JARTUPORN INTARAKUMHANG

Original Issue Date

03/21/2000

Effective Date

07/25/2024

Expiration Date

09/30/2026

City

PARK RIDGE

State

IL

Zip

60068

County

COOK

Ever Disciplined

N

LastModifiedDate

07/25/2024