MARY K MIXAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024795

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

MIXAN

Business Name

MARY K MIXAN

Original Issue Date

10/07/2019

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60655

Ever Disciplined

LastModifiedDate

08/22/2024