HAZEL THEA B MANALO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013898

License Status

ACTIVE

Business

First Name

HAZEL THEA

Middle

Last Name

MANALO

Business Name

HAZEL THEA B MANALO

Original Issue Date

05/19/2004

Effective Date

09/18/2024

Expiration Date

09/30/2026

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2024