TARA J BANICK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012763

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

BANICK

Business Name

TARA J BANICK

Original Issue Date

12/03/2001

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2024