DARYN MELISSA LEE PORTMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024785

License Status

NOT RENEWED

Business

First Name

DARYN

Middle

MELISSA LEE

Last Name

PORTMAN

Business Name

DARYN MELISSA LEE PORTMAN

Original Issue Date

10/01/2019

Effective Date

08/25/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022