CHARLES B RIVA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015083

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

RIVA

Business Name

CHARLES B RIVA

Original Issue Date

05/12/2006

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/05/2024