CHARDONNAY E TOLLIVER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026651

License Status

ACTIVE

Business

First Name

CHARDONNAY

Middle

Last Name

TOLLIVER

Business Name

CHARDONNAY E TOLLIVER

Original Issue Date

06/28/2022

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/24/2024