RAYMOND BAUSA PRANADA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016146

License Status

ACTIVE

Business

First Name

RAYMOND

Middle

BAUSA

Last Name

PRANADA

Business Name

RAYMOND BAUSA PRANADA

Original Issue Date

12/12/2007

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/05/2024