MA ANA LAGON PADURA - Physical Therapist License in Illinois | # 070020410

MA ANA LAGON PADURA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020410

License Status

NOT RENEWED

Business

N

First Name

MA ANA

Middle

LAGON

Last Name

PADURA

Business Name

MA ANA LAGON PADURA

Original Issue Date

11/18/2013

Effective Date

09/29/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

11/26/2016