AUSTIN J SUBROTO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025478

License Status

ACTIVE

Business

First Name

AUSTIN

Middle

Last Name

SUBROTO

Business Name

AUSTIN J SUBROTO

Original Issue Date

08/28/2020

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60625

Ever Disciplined

LastModifiedDate

09/05/2024