TRAIRUD JACK WATANACHAIYOT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025183

License Status

NOT RENEWED

Business

First Name

TRAIRUD

Middle

JACK

Last Name

WATANACHAIYOT

Business Name

TRAIRUD JACK WATANACHAIYOT

Original Issue Date

06/15/2020

Effective Date

07/16/2022

Expiration Date

09/30/2024

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2025