FEDERICO MORTA DAVID JR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015652

License Status

ACTIVE

Business

First Name

FEDERICO

Middle

MORTA

Last Name

DAVID

Suffix

Business Name

FEDERICO MORTA DAVID JR

Original Issue Date

03/22/2007

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

09/20/2024