RYAN JACOB BOUDREAUX - Physical Therapist License in Illinois | # 070021877

RYAN JACOB BOUDREAUX

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021877

License Status

ACTIVE

Business

N

First Name

RYAN

Middle

JACOB

Last Name

BOUDREAUX

Business Name

RYAN JACOB BOUDREAUX

Original Issue Date

10/29/2015

Effective Date

09/17/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/17/2024