DYLAN R RANDALL - Physical Therapist License in Illinois | # 070022372

DYLAN R RANDALL

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022372

License Status

INACTIVE

Business

N

First Name

DYLAN

Middle

R

Last Name

RANDALL

Business Name

DYLAN R RANDALL

Original Issue Date

08/11/2016

Effective Date

09/25/2022

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

08/08/2024