SAMUEL CROSS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028336

License Status

ACTIVE

Business

First Name

SAMUEL

Last Name

CROSS

Business Name

SAMUEL CROSS

Original Issue Date

06/03/2024

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

HEYWORTH

State

Zip

61745

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/23/2024