HOMER S DELA CRUZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009653

License Status

NOT RENEWED

Business

First Name

HOMER S

Last Name

DELA CRUZ

Business Name

HOMER S DELA CRUZ

Original Issue Date

09/26/1996

Effective Date

09/26/1996

Expiration Date

09/30/2000

City

NORTH LAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005