LEIGH ANN H GALLIVAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000169

License Status

INACTIVE

Business

First Name

LEIGH ANN H

Last Name

GALLIVAN

Business Name

LEIGH ANN H GALLIVAN

Original Issue Date

07/01/1991

Effective Date

11/06/2021

Expiration Date

09/30/2023

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/28/2023