DANIEL N WALLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024897

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

WALLER

Business Name

DANIEL N WALLER

Original Issue Date

12/04/2019

Effective Date

07/13/2024

Expiration Date

09/30/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2024