LARISSA U MIAKUSH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018391

License Status

ACTIVE

Business

First Name

LARISSA

Middle

Last Name

MIAKUSH

Business Name

LARISSA U MIAKUSH

Original Issue Date

05/06/2011

Effective Date

09/02/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2024