JENIFER M DE LARA - Physical Therapist License in Illinois | # 070009035

JENIFER M DE LARA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009035

License Status

ACTIVE

Business

N

First Name

JENIFER M

Last Name

DE LARA

Business Name

JENIFER M DE LARA

Original Issue Date

09/07/1995

Effective Date

07/05/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/05/2024