SAMUEL MAKASIAR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029658

License Status

ACTIVE

Business

First Name

SAMUEL

Last Name

MAKASIAR

Business Name

SAMUEL MAKASIAR

Original Issue Date

11/26/2025

Effective Date

11/26/2025

Expiration Date

09/30/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/26/2025