JOHN JAY C PENALOSA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014382

License Status

ACTIVE

Business

First Name

JOHN JAY

Middle

Last Name

PENALOSA

Business Name

JOHN JAY C PENALOSA

Original Issue Date

04/05/2005

Effective Date

09/21/2024

Expiration Date

09/30/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/21/2024