RHETT ENRIQUEZ BANZON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011345

License Status

ACTIVE

Business

First Name

RHETT

Middle

ENRIQUEZ

Last Name

BANZON

Business Name

RHETT ENRIQUEZ BANZON

Original Issue Date

06/01/1999

Effective Date

08/07/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/07/2024