MARYELLEN BULOW GIESE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012296

License Status

ACTIVE

Business

First Name

MARYELLEN

Middle

BULOW

Last Name

GIESE

Business Name

MARYELLEN BULOW GIESE

Original Issue Date

01/24/2001

Effective Date

08/30/2024

Expiration Date

09/30/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

08/30/2024