ERIC EUGENE RUSSEL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007272

License Status

ACTIVE

Business

First Name

ERIC

Middle

EUGENE

Last Name

RUSSEL

Business Name

ERIC EUGENE RUSSEL

Original Issue Date

08/14/2015

Effective Date

09/04/2025

Expiration Date

09/30/2027

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

09/04/2025