AZELA MAE CARBONELL DOERGE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006357

License Status

ACTIVE

Business

First Name

AZELA MAE

Middle

CARBONELL

Last Name

DOERGE

Business Name

AZELA MAE CARBONELL DOERGE

Original Issue Date

04/16/2013

Effective Date

08/10/2025

Expiration Date

09/30/2027

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/10/2025