MEGAN M RUSSO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006958

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

RUSSO

Business Name

MEGAN M RUSSO

Original Issue Date

10/24/2014

Effective Date

09/10/2021

Expiration Date

09/30/2023

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

02/02/2024