DEXTER A AVANCENA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014198

License Status

ACTIVE

Business

First Name

DEXTER

Middle

Last Name

AVANCENA

Business Name

DEXTER A AVANCENA

Original Issue Date

11/03/2004

Effective Date

09/15/2024

Expiration Date

09/30/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

09/15/2024