GERALD R URQUICO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014866

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

URQUICO

Business Name

GERALD R URQUICO

Original Issue Date

02/21/2006

Effective Date

08/06/2010

Expiration Date

09/30/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/16/2013