THEODORE R MACIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024053

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

MACIS

Business Name

THEODORE R MACIS

Original Issue Date

10/17/2018

Effective Date

08/24/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60622

County

LAKE

Ever Disciplined

LastModifiedDate

08/24/2024