JEROME LUCENA AMANQUITON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014784

License Status

NOT RENEWED

Business

First Name

JEROME

Middle

LUCENA

Last Name

AMANQUITON

Business Name

JEROME LUCENA AMANQUITON

Original Issue Date

12/21/2005

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008