MOLLIE K BASIC Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018475

License Status

ACTIVE

Business

First Name

MOLLIE

Middle

Last Name

BASIC

Business Name

MOLLIE K BASIC

Original Issue Date

06/30/2011

Effective Date

08/16/2024

Expiration Date

09/30/2026

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

08/16/2024