TIFFANY A DE LA CRUZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013333

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

DE LA CRUZ

Business Name

TIFFANY A DE LA CRUZ

Original Issue Date

12/12/2002

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2024