CAMILLE A STANISLAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001043

License Status

ACTIVE

Business

First Name

CAMILLE A

Last Name

STANISLAW

Business Name

CAMILLE A STANISLAW

Original Issue Date

11/25/1991

Effective Date

10/01/2025

Expiration Date

09/30/2027

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2025