REYNALDO BANTON LACSON JR - Physical Therapist License in Illinois | # 070022793

REYNALDO BANTON LACSON JR

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022793

License Status

NOT RENEWED

Business

N

Title

JR

First Name

REYNALDO

Middle

BANTON

Last Name

LACSON

Business Name

REYNALDO BANTON LACSON JR

Original Issue Date

02/02/2017

Effective Date

02/02/2017

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2018