LARENZA A PIOUS - Physical Therapist License in Illinois | # 160006014

LARENZA A PIOUS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006014

License Status

NOT RENEWED

Business

N

First Name

LARENZA

Middle

A

Last Name

PIOUS

Business Name

LARENZA A PIOUS

Original Issue Date

06/14/2012

Effective Date

09/23/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022