TRACY L LEIPOLD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012036

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

LEIPOLD

Business Name

TRACY L LEIPOLD

Original Issue Date

08/14/2000

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

09/12/2024