CAMERON DOUGLAS GREEN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025814

License Status

ACTIVE

Business

Title

DPT

First Name

CAMERON

Middle

DOUGLAS

Last Name

GREEN

Business Name

CAMERON DOUGLAS GREEN DPT

Original Issue Date

04/05/2021

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2024