BRIAN S DOMIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027554

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

DOMIN

Business Name

BRIAN S DOMIN

Original Issue Date

06/07/2023

Effective Date

06/07/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

02/27/2025