SUZANNE M RUSSELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004450

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

Last Name

RUSSELL

Business Name

SUZANNE M RUSSELL

Original Issue Date

08/22/2005

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

09/21/2025