JONG TAE PARK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011932

License Status

ACTIVE

Business

First Name

JONG TAE

Last Name

PARK

Business Name

JONG TAE PARK

Original Issue Date

05/09/2000

Effective Date

07/10/2024

Expiration Date

09/30/2026

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2024