TIFFANY ENJOLIE GREEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015306

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

ENJOLIE

Last Name

GREEN

Business Name

TIFFANY ENJOLIE GREEN

Original Issue Date

09/05/2006

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

09/06/2024