NATHANIEL JOHN I MANZANO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003477

License Status

ACTIVE

Business

First Name

NATHANIEL JOHN I

Last Name

MANZANO

Business Name

NATHANIEL JOHN I MANZANO

Original Issue Date

09/01/1981

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2024