MICHELLE FISHBACK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026044

License Status

ACTIVE

Business

First Name

MICHELLE

Last Name

FISHBACK

Business Name

MICHELLE FISHBACK

Original Issue Date

08/11/2021

Effective Date

07/15/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2024