BRYAN LANZADERAS AGUANTA - Physical Therapist License in Illinois | # 070015142

BRYAN LANZADERAS AGUANTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015142

License Status

NOT RENEWED

Business

N

First Name

BRYAN

Middle

LANZADERAS

Last Name

AGUANTA

Business Name

BRYAN LANZADERAS AGUANTA

Original Issue Date

06/16/2006

Effective Date

10/01/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021