MACKENZIE A LULLO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009537

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

Last Name

LULLO

Business Name

MACKENZIE A LULLO

Original Issue Date

03/30/2022

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

HOLIDAY HILLS

State

Zip

60051

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/30/2025