IMELDA CARMELA BUENO GURDIEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013837

License Status

NOT RENEWED

Business

First Name

IMELDA CARMELA

Middle

BUENO

Last Name

GURDIEL

Business Name

IMELDA CARMELA BUENO GURDIEL

Original Issue Date

03/17/2004

Effective Date

08/26/2010

Expiration Date

09/30/2012

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

01/16/2013