BRYAN LANZADERAS AGUANTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015142

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

LANZADERAS

Last Name

AGUANTA

Business Name

BRYAN LANZADERAS AGUANTA

Original Issue Date

06/16/2006

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

01/14/2021