DORISTINA T ORTEGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011494

License Status

NOT RENEWED

Business

First Name

DORISTINA

Middle

Last Name

ORTEGA

Business Name

DORISTINA T ORTEGA

Original Issue Date

09/20/1999

Effective Date

07/29/2010

Expiration Date

09/30/2012

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

01/16/2013