LUCILLE SHERRY MAE GUETA CERVANTES - Physical Therapist License in Illinois | # 070019568

LUCILLE SHERRY MAE GUETA CERVANTES

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019568

License Status

NOT RENEWED

Business

N

First Name

LUCILLE SHERRY MAE

Middle

GUETA

Last Name

CERVANTES

Business Name

LUCILLE SHERRY MAE GUETA CERVANTES

Original Issue Date

11/05/2012

Effective Date

09/01/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022