GASTON D CORDOVA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014706

License Status

ACTIVE

Business

First Name

GASTON

Middle

Last Name

CORDOVA

Business Name

GASTON D CORDOVA

Original Issue Date

09/26/2005

Effective Date

09/28/2024

Expiration Date

09/30/2026

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

09/28/2024