RAYMUND RAMIRO BANZUELA - Physical Therapist License in Illinois | # 070017565

RAYMUND RAMIRO BANZUELA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017565

License Status

NOT RENEWED

Business

N

First Name

RAYMUND

Middle

RAMIRO

Last Name

BANZUELA

Business Name

RAYMUND RAMIRO BANZUELA

Original Issue Date

12/30/2009

Effective Date

08/29/2022

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/27/2025