MARIA LOURDES DE JESUS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007241

License Status

NOT RENEWED

Business

First Name

MARIA LOURDES

Last Name

DE JESUS

Business Name

MARIA LOURDES DE JESUS

Original Issue Date

10/24/1992

Effective Date

08/07/2020

Expiration Date

09/30/2022

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/28/2022