MALLORY T EGGERT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021713

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

EGGERT

Business Name

MALLORY T EGGERT

Original Issue Date

08/17/2015

Effective Date

08/17/2015

Expiration Date

09/30/2016

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016