KHADIJAH A LEWIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014658

License Status

ACTIVE

Business

First Name

KHADIJAH

Middle

Last Name

LEWIS

Business Name

KHADIJAH A LEWIS

Original Issue Date

09/27/2005

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2024