MARY KATHERINE FORMEA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015175

License Status

ACTIVE

Business

First Name

MARY

Middle

KATHERINE

Last Name

FORMEA

Business Name

MARY KATHERINE FORMEA

Original Issue Date

07/10/2006

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

WARRENVILLE

State

Zip

60555

County

KANE

Ever Disciplined

LastModifiedDate

09/22/2024