LAUREN MICHELLE NELLAMATTATHIL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022172

License Status

ACTIVE

Business

First Name

LAUREN

Middle

MICHELLE

Last Name

NELLAMATTATHIL

Business Name

LAUREN MICHELLE NELLAMATTATHIL

Original Issue Date

06/08/2016

Effective Date

09/01/2024

Expiration Date

09/30/2026

City

GLENVIEW

State

Zip

60025

Ever Disciplined

LastModifiedDate

09/01/2024