AISSA R CRUZ - Physical Therapist License in Illinois | # 070010897

AISSA R CRUZ

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010897

License Status

NOT RENEWED

Business

N

First Name

AISSA

Middle

R

Last Name

CRUZ

Business Name

AISSA R CRUZ

Original Issue Date

10/22/1998

Effective Date

07/09/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014