HAZEL M ENRIQUEZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010942

License Status

ACTIVE

Business

First Name

HAZEL

Middle

Last Name

ENRIQUEZ

Business Name

HAZEL M ENRIQUEZ

Original Issue Date

10/29/1998

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

09/06/2024