MARY ELLEN ESTRADA - Physical Therapist License in Illinois | # 160004842

MARY ELLEN ESTRADA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004842

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

ELLEN

Last Name

ESTRADA

Business Name

MARY ELLEN ESTRADA

Original Issue Date

09/06/2007

Effective Date

09/18/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020