BUEN VIDAD - Physical Therapist License in Illinois | # 160005627

BUEN VIDAD

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005627

License Status

ACTIVE

Business

N

First Name

BUEN

Last Name

VIDAD

Business Name

BUEN VIDAD

Original Issue Date

01/13/2011

Effective Date

09/24/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/24/2025