ANGELI JUSTINE C MATA - Physical Therapist License in Illinois | # 070026976

ANGELI JUSTINE C MATA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026976

License Status

ACTIVE

Business

N

First Name

ANGELI JUSTINE

Middle

C

Last Name

MATA

Business Name

ANGELI JUSTINE C MATA

Original Issue Date

09/28/2022

Effective Date

08/22/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/22/2024