HANNA JOHARA MASCARENAS BASA - Physical Therapist License in Illinois | # 070018416

HANNA JOHARA MASCARENAS BASA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018416

License Status

NOT RENEWED

Business

N

First Name

HANNA JOHARA

Middle

MASCARENAS

Last Name

BASA

Business Name

HANNA JOHARA MASCARENAS BASA

Original Issue Date

06/01/2011

Effective Date

07/17/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021