Verified record
Source: Illinois IDFPR license registry + NPPES. High trust.
Profession
Physical Therapist · PT
IL license
070012450 — ACTIVE
Disciplinary record
On record — see detail below
NPI
1053518829 · matched by name
Pediatric
provider has not provided attestation
IDFPR disciplinary record · 3 actions on record
The Illinois Dept. of Financial & Professional Regulation (IDFPR) maintains a public record of disciplinary actions on professional licenses. The detail below is reproduced verbatim from the IDFPR licensing dataset — it is not a characterization by PedsList.
ProbationAug 25, 2010· IDFPR case 2007001220
license restored to indefinite probation with practice restrictions for a minimum of three years effective upon payment of fees, filing of forms and completion of required CE.
current indefinite probation dated 08/25/2010 is extended for a minimum of 12 months - all terms and conditions to remain in full force and effect; eff 04/03/2018
FineAug 25, 2010· IDFPR case 2007001220
license restored to indefinite probation with practice restrictions for a minimum of three years effective upon payment of fees, filing of forms and completion of required CE.
current indefinite probation dated 08/25/2010 is extended for a minimum of 12 months - all terms and conditions to remain in full force and effect; eff 04/03/2018
SuspensionDec 21, 2009· IDFPR case 2007001220
after obtained controlled substances with unauthorized prescriptions by stealing prescription pads and forging the names of physicians.
Source: IDFPR license lookup · dataset data.illinois.gov / pzzh-kp68. Some actions are administrative (e.g. continuing-education or renewal lapses) and don't indicate patient harm; where wording reads "allegedly," it reflects allegations as recorded by IDFPR, not by itself a current finding of wrongdoing.
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