GAYNOLD BASA LEANO - Physical Therapist License in Illinois | # 070009581

GAYNOLD BASA LEANO

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009581

License Status

ACTIVE

Business

N

First Name

GAYNOLD BASA

Last Name

LEANO

Business Name

GAYNOLD BASA LEANO

Original Issue Date

08/13/1996

Effective Date

07/17/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2024