SOUTSADA T RIVERA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008735

License Status

ACTIVE

Business

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

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/15/2024