COOPER FIELDS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029063

License Status

ACTIVE

Business

First Name

COOPER

Last Name

FIELDS

Business Name

COOPER FIELDS

Original Issue Date

04/23/2025

Effective Date

04/23/2025

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/14/2025