TIMOTHY LONGAWA - Physical Therapist License in Illinois | # 070025278

TIMOTHY LONGAWA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025278

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Last Name

LONGAWA

Business Name

TIMOTHY LONGAWA

Original Issue Date

07/24/2020

Effective Date

07/24/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022