JESSE NATIVIDAD RIDAD - Physical Therapist License in Illinois | # 070010656

JESSE NATIVIDAD RIDAD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010656

License Status

NOT RENEWED

Business

N

First Name

JESSE

Middle

NATIVIDAD

Last Name

RIDAD

Business Name

JESSE NATIVIDAD RIDAD

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005