JOSE GALVINO LUMBUAN MIRA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013345

License Status

ACTIVE

Business

First Name

JOSE GALVINO

Middle

LUMBUAN

Last Name

MIRA

Business Name

JOSE GALVINO LUMBUAN MIRA

Original Issue Date

12/23/2002

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/12/2024