GAYNOLD BASA LEANO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009581

License Status

ACTIVE

Business

First Name

GAYNOLD BASA

Last Name

LEANO

Business Name

GAYNOLD BASA LEANO

Original Issue Date

08/13/1996

Effective Date

07/17/2024

Expiration Date

09/30/2026

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/17/2024