MARK G ANDERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006028

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

ANDERSON

Business Name

MARK G ANDERSON

Original Issue Date

07/17/2012

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022