MICHAEL NIKKO ACOSTA VALDEZ - Physical Therapist License in Illinois | # 070020521

MICHAEL NIKKO ACOSTA VALDEZ

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020521

License Status

NOT RENEWED

Business

N

First Name

MICHAEL NIKKO

Middle

ACOSTA

Last Name

VALDEZ

Business Name

MICHAEL NIKKO ACOSTA VALDEZ

Original Issue Date

02/11/2014

Effective Date

07/25/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021