REX ROBERTO C DAVADILLA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008976

License Status

INACTIVE

Business

First Name

REX ROBERTO C

Last Name

DAVADILLA

Business Name

REX ROBERTO C DAVADILLA

Original Issue Date

09/06/1995

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2008