SAMANTHA M HERRIOTT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019512

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

HERRIOTT

Business Name

SAMANTHA M HERRIOTT

Original Issue Date

09/13/2012

Effective Date

08/23/2024

Expiration Date

09/30/2026

City

PHILO

State

Zip

61864

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/23/2024