RYAN A CARROLL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023161

License Status

ACTIVE

Business

First Name

RYAN

Middle

Last Name

CARROLL

Business Name

RYAN A CARROLL

Original Issue Date

08/16/2017

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

ANTIOCH

State

Zip

60002

Ever Disciplined

LastModifiedDate

09/30/2024