MICHELE EJASTRO PENAFLORIDA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014708

License Status

ACTIVE

Business

First Name

MICHELE

Middle

EJASTRO

Last Name

PENAFLORIDA

Business Name

MICHELE EJASTRO PENAFLORIDA

Original Issue Date

09/13/2004

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2024