TODD J WALLACE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016043

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

WALLACE

Business Name

TODD J WALLACE

BusinessDBA

TODD J WALLACE

Original Issue Date

09/27/2007

Effective Date

08/25/2024

Expiration Date

09/30/2026

City

OAKWOOD HILLS

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/25/2024