TIFFANY K GRUNEWALD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014602

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

GRUNEWALD

Business Name

TIFFANY K GRUNEWALD

Original Issue Date

09/06/2005

Effective Date

08/04/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022