LAUREN ELYSE RAPHAEL - Physical Therapist License in Illinois | # 070021960

LAUREN ELYSE RAPHAEL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021960

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Middle

ELYSE

Last Name

RAPHAEL

Business Name

LAUREN ELYSE RAPHAEL

Original Issue Date

12/22/2015

Effective Date

09/10/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021