SIRIVANH GAMEZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015351

License Status

ACTIVE

Business

First Name

SIRIVANH

Last Name

GAMEZ

Business Name

SIRIVANH GAMEZ

BusinessDBA

PHOMVANSI

Original Issue Date

09/29/2006

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2024