AISSA R CRUZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010897

License Status

NOT RENEWED

Business

First Name

AISSA

Middle

Last Name

CRUZ

Business Name

AISSA R CRUZ

Original Issue Date

10/22/1998

Effective Date

07/09/2012

Expiration Date

09/30/2014

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014