MA GINA D AUGUSTO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012211

License Status

ACTIVE

Business

First Name

MA GINA

Middle

Last Name

AUGUSTO

Business Name

MA GINA D AUGUSTO

Original Issue Date

11/21/2000

Effective Date

07/10/2024

Expiration Date

09/30/2026

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2024