JASSIM DIEMUNDO PASIGNA VAILOCES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016055

License Status

NOT RENEWED

Business

First Name

JASSIM DIEMUNDO PASIGNA

Last Name

VAILOCES

Business Name

JASSIM DIEMUNDO PASIGNA VAILOCES

Original Issue Date

10/04/2007

Effective Date

09/13/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021