MARY VIANELLE L. LICHAUCO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026346

License Status

ACTIVE

Business

First Name

MARY VIANELLE

Middle

Last Name

LICHAUCO

Business Name

MARY VIANELLE L. LICHAUCO

Original Issue Date

11/08/2021

Effective Date

09/02/2024

Expiration Date

09/30/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2024