MARIELIESE DAPHNE ENRIQUEZ MARQUEZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015625

License Status

ACTIVE

Business

First Name

MARIELIESE

Middle

DAPHNE ENRIQUEZ

Last Name

MARQUEZ

Business Name

MARIELIESE DAPHNE ENRIQUEZ MARQUEZ

Original Issue Date

03/13/2007

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2024