NATHANIEL BASCAR VIZCAYNO - Physical Therapist License in Illinois | # 070011571

NATHANIEL BASCAR VIZCAYNO

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011571

License Status

ACTIVE

Business

N

First Name

NATHANIEL

Middle

BASCAR

Last Name

VIZCAYNO

Business Name

NATHANIEL BASCAR VIZCAYNO

Original Issue Date

11/01/1999

Effective Date

09/02/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/02/2024