SIEGFRIED PRYMON S SIRILAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014505

License Status

ACTIVE

Business

First Name

SIEGFRIED PRYMON

Middle

Last Name

SIRILAN

Business Name

SIEGFRIED PRYMON S SIRILAN

Original Issue Date

07/08/2005

Effective Date

07/17/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2024