TIMOTHY SONG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026208

License Status

ACTIVE

Business

First Name

TIMOTHY

Last Name

SONG

Business Name

TIMOTHY SONG

Original Issue Date

08/30/2021

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

EVANSTON

State

Zip

60202

Ever Disciplined

LastModifiedDate

09/10/2024