RYAN JACOB BOUDREAUX Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021877

License Status

ACTIVE

Business

First Name

RYAN

Middle

JACOB

Last Name

BOUDREAUX

Business Name

RYAN JACOB BOUDREAUX

Original Issue Date

10/29/2015

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

09/17/2024