FRANCISCO SAN JOSE BARTOLOME - Physical Therapist License in Illinois | # 070013746

FRANCISCO SAN JOSE BARTOLOME

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013746

License Status

NOT RENEWED

Business

N

First Name

FRANCISCO

Middle

SAN JOSE

Last Name

BARTOLOME

Business Name

FRANCISCO SAN JOSE BARTOLOME

Original Issue Date

12/23/2003

Effective Date

09/27/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2018