JOSE BENJAMIN MORELOS SALAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012787

License Status

NOT RENEWED

Business

First Name

JOSE BENJAMIN

Middle

MORELOS

Last Name

SALAK

Business Name

JOSE BENJAMIN MORELOS SALAK

Original Issue Date

12/11/2001

Effective Date

12/11/2001

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005