EMILY FORTMAN DPT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025762

License Status

NOT RENEWED

Business

Title

DPT

First Name

EMILY

Last Name

FORTMAN

Business Name

EMILY FORTMAN DPT

Original Issue Date

03/02/2021

Effective Date

07/02/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2025