GLORDENIA C SAN BUENAVENTURA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006602

License Status

NOT RENEWED

Business

First Name

GLORDENIA C

Last Name

SAN BUENAVENTURA

Business Name

GLORDENIA C SAN BUENAVENTURA

Original Issue Date

09/19/1991

Effective Date

09/14/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022