LESLIE C DORULLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021018

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

DORULLA

Business Name

LESLIE C DORULLA

Original Issue Date

08/27/2014

Effective Date

08/10/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021