MEG A FENSHOLT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005752

License Status

NOT RENEWED

Business

First Name

MEG

Middle

Last Name

FENSHOLT

Business Name

MEG A FENSHOLT

Original Issue Date

08/23/2011

Effective Date

09/30/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60657

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/19/2022