DOMINGO BALTAZAR - Physical Therapist License in Illinois | # 160006044

DOMINGO BALTAZAR

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006044

License Status

ACTIVE

Business

N

First Name

DOMINGO

Last Name

BALTAZAR

Business Name

DOMINGO BALTAZAR

Original Issue Date

08/08/2012

Effective Date

09/25/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2025