LAUREN ELYSE RAPHAEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021960

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021