JOAQUIN FERNANDO SANTILLAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013108

License Status

NOT RENEWED

Business

First Name

JOAQUIN

Middle

FERNANDO

Last Name

SANTILLAN

Business Name

JOAQUIN FERNANDO SANTILLAN

Original Issue Date

07/25/2002

Effective Date

07/25/2002

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005