JESSE NATIVIDAD RIDAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010656

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

NATIVIDAD

Last Name

RIDAD

Business Name

JESSE NATIVIDAD RIDAD

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005