KIRSTEN L FUGATE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007054

License Status

ACTIVE

Business

First Name

KIRSTEN

Middle

Last Name

FUGATE

Business Name

KIRSTEN L FUGATE

Original Issue Date

11/26/2014

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/21/2025