DIVINE ORQUE DUE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010956

License Status

ACTIVE

Business

First Name

DIVINE

Middle

ORQUE

Last Name

DUE

Business Name

DIVINE ORQUE DUE

Original Issue Date

10/29/1998

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/30/2024