ALFRED BEETHOVEN PADUA GREGORIO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019319

License Status

INACTIVE

Business

First Name

ALFRED BEETHOVEN

Middle

PADUA

Last Name

GREGORIO

Business Name

ALFRED BEETHOVEN PADUA GREGORIO

Original Issue Date

08/07/2012

Effective Date

09/06/2018

Expiration Date

09/30/2020

City

SAUGUS

State

Zip

91350

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2020