LOUIS J RUSSO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005310

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

Last Name

RUSSO

Business Name

LOUIS J RUSSO

Original Issue Date

10/07/2009

Effective Date

09/17/2021

Expiration Date

09/30/2023

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2024