TRAVIS LAWRENCE ORTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018883

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

LAWRENCE

Last Name

ORTH

Business Name

TRAVIS LAWRENCE ORTH

Original Issue Date

11/23/2011

Effective Date

08/22/2016

Expiration Date

09/30/2018

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/05/2018