RUPERTO ENRILE SANTOS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010401

License Status

INACTIVE

Business

First Name

RUPERTO ENRILE

Last Name

SANTOS

Business Name

RUPERTO ENRILE SANTOS

Original Issue Date

12/22/1997

Effective Date

12/22/1997

Expiration Date

09/30/2002

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005