GWEN QUALLEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028574

License Status

ACTIVE

Business

First Name

GWEN

Last Name

QUALLEY

Business Name

GWEN QUALLEY

Original Issue Date

08/25/2024

Effective Date

08/25/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60614

Ever Disciplined

LastModifiedDate

08/22/2024