HERCHEL MANGUNE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008649

License Status

ACTIVE

Business

First Name

HERCHEL

Last Name

MANGUNE

Business Name

HERCHEL MANGUNE

Original Issue Date

08/03/2019

Effective Date

09/15/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/15/2025