SALLY A LAKATOS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013742

License Status

ACTIVE

Business

First Name

SALLY

Middle

Last Name

LAKATOS

Business Name

SALLY A LAKATOS

Original Issue Date

12/18/2003

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2024