LOIDA LIM BACULANTA - Physical Therapist License in Illinois | # 070019317

LOIDA LIM BACULANTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019317

License Status

NOT RENEWED

Business

N

First Name

LOIDA

Middle

LIM

Last Name

BACULANTA

Business Name

LOIDA LIM BACULANTA

Original Issue Date

08/07/2012

Effective Date

09/16/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

11/26/2016