MICHAEL THOMAS CHANDLER LOCKENVITZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027116

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

THOMAS CHANDLER

Last Name

LOCKENVITZ

Business Name

MICHAEL THOMAS CHANDLER LOCKENVITZ

Original Issue Date

11/17/2022

Effective Date

08/14/2024

Expiration Date

09/30/2026

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

08/14/2024