DIWATA M YMSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006449

License Status

ACTIVE

Business

First Name

DIWATA M

Last Name

YMSON

Business Name

DIWATA M YMSON

Original Issue Date

04/26/1991

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

07/30/2024