TATUM P SUSBERRY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007397

License Status

ACTIVE

Business

First Name

TATUM

Middle

Last Name

SUSBERRY

Business Name

TATUM P SUSBERRY

Original Issue Date

11/20/2015

Effective Date

09/26/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2025