JEREMY SOLO CAGOCO LIWASAN - Physical Therapist License in Illinois | # 070017602

JEREMY SOLO CAGOCO LIWASAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017602

License Status

NOT RENEWED

Business

N

First Name

JEREMY SOLO

Middle

CAGOCO

Last Name

LIWASAN

Business Name

JEREMY SOLO CAGOCO LIWASAN

Original Issue Date

02/01/2010

Effective Date

09/08/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013