SOUTSADA T RIVERA - Physical Therapist License in Illinois | # 070008735

SOUTSADA T RIVERA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008735

License Status

ACTIVE

Business

N

First Name

SOUTSADA T

Last Name

RIVERA

Business Name

SOUTSADA T RIVERA

Original Issue Date

05/01/1995

Effective Date

08/15/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/15/2024