PHARUEWISA PHATPHAIBOOL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010535

License Status

ACTIVE

Business

First Name

PHARUEWISA

Last Name

PHATPHAIBOOL

Business Name

PHARUEWISA PHATPHAIBOOL

Original Issue Date

09/08/2025

Effective Date

09/08/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/08/2025