MARA G MITTENTHAL DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027887

License Status

ACTIVE

Business

Title

DPT

First Name

MARA

Middle

Last Name

MITTENTHAL

Business Name

MARA G MITTENTHAL DPT

Original Issue Date

10/14/2023

Effective Date

07/15/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2024