SAMUEL L LONG - Physical Therapist License in Illinois | # 070026489

SAMUEL L LONG

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026489

License Status

ACTIVE

Business

N

First Name

SAMUEL

Middle

L

Last Name

LONG

Business Name

SAMUEL L LONG

Original Issue Date

03/07/2022

Effective Date

08/08/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/08/2024