ETHAN LOUIS DUCLOS - Physical Therapist License in Illinois | # 070025738

ETHAN LOUIS DUCLOS

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025738

License Status

ACTIVE

Business

N

First Name

ETHAN

Middle

LOUIS

Last Name

DUCLOS

Business Name

ETHAN LOUIS DUCLOS

Original Issue Date

02/18/2021

Effective Date

09/04/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/04/2024