REGINA M RODERICK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012854

License Status

ACTIVE

Business

First Name

REGINA

Middle

Last Name

RODERICK

Business Name

REGINA M RODERICK

Original Issue Date

02/05/2002

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/30/2024