PENNY J RUSS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001853

License Status

ACTIVE

Business

First Name

PENNY J

Last Name

RUSS

Business Name

PENNY J RUSS

Original Issue Date

01/22/1994

Effective Date

08/04/2025

Expiration Date

09/30/2027

City

DWIGHT

State

Zip

60420

County

GRUNDY

Ever Disciplined

LastModifiedDate

08/04/2025