JOSE BENJAMIN MORELOS SALAK - Physical Therapist License in Illinois | # 070012787

JOSE BENJAMIN MORELOS SALAK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012787

License Status

NOT RENEWED

Business

N

First Name

JOSE BENJAMIN

Middle

MORELOS

Last Name

SALAK

Business Name

JOSE BENJAMIN MORELOS SALAK

Original Issue Date

12/11/2001

Effective Date

12/11/2001

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005