ESTIVEN ESTACIO - Physical Therapist License in Illinois | # 160009904

ESTIVEN ESTACIO

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009904

License Status

ACTIVE

Business

N

First Name

ESTIVEN

Last Name

ESTACIO

Business Name

ESTIVEN ESTACIO

Original Issue Date

08/23/2023

Effective Date

07/02/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

07/02/2025