LISA J DISTEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000605

License Status

NOT RENEWED

Business

First Name

LISA J

Last Name

DISTEL

Business Name

LISA J DISTEL

Original Issue Date

09/21/1991

Effective Date

09/05/2023

Expiration Date

09/30/2025

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

12/30/2025