MILDRED GENOVEA - Physical Therapist License in Illinois | # 070007976

MILDRED GENOVEA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007976

License Status

NOT RENEWED

Business

N

First Name

MILDRED

Last Name

GENOVEA

Business Name

MILDRED GENOVEA

Original Issue Date

01/22/1994

Effective Date

01/22/1994

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005