MYRIAM C PEREZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001991

License Status

INACTIVE

Business

First Name

MYRIAM C

Last Name

PEREZ

Business Name

MYRIAM C PEREZ

Original Issue Date

05/19/1975

Effective Date

09/10/2018

Expiration Date

09/30/2020

City

SLEEPY HOLLOW

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2020