MADELINE E GREEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025658

License Status

ACTIVE

Business

First Name

MADELINE

Middle

Last Name

GREEN

Business Name

MADELINE E GREEN

Original Issue Date

11/20/2020

Effective Date

07/31/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/31/2024