MICHAEL SAMUEL LEAVITT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017936

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SAMUEL

Last Name

LEAVITT

Business Name

MICHAEL SAMUEL LEAVITT

Original Issue Date

07/28/2010

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/28/2022