PHOENIX PHILIP Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006223

License Status

NOT RENEWED

Business

First Name

PHOENIX

Last Name

PHILIP

Business Name

PHOENIX PHILIP

Original Issue Date

11/08/2012

Effective Date

07/09/2013

Expiration Date

09/30/2015

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2015