BASMA K RAFAEL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010572

License Status

ACTIVE

Business

First Name

BASMA

Middle

Last Name

RAFAEL

Business Name

BASMA K RAFAEL

Original Issue Date

04/14/1998

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

09/30/2024