JOSEFINA BRICENO - Physical Therapist License in Illinois | # 070001572

JOSEFINA BRICENO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001572

License Status

NOT RENEWED

Business

N

First Name

JOSEFINA

Last Name

BRICENO

Business Name

JOSEFINA BRICENO

Original Issue Date

05/26/1972

Effective Date

09/08/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

11/26/2016