POLLY A TIERNEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000915

License Status

NOT RENEWED

Business

First Name

POLLY A

Last Name

TIERNEY

Business Name

POLLY A TIERNEY

Original Issue Date

11/05/1991

Effective Date

07/18/2019

Expiration Date

01/31/2022

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022