LUNA XIMENA NINO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010359

License Status

ACTIVE

Business

First Name

LUNA

Middle

XIMENA

Last Name

NINO

Business Name

LUNA XIMENA NINO

Original Issue Date

12/03/1997

Effective Date

07/25/2024

Expiration Date

09/30/2026

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

07/25/2024