MIA M GONZALES Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015338

License Status

ACTIVE

Business

First Name

MIA

Middle

Last Name

GONZALES

Business Name

MIA M GONZALES

Original Issue Date

09/22/2006

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/07/2024