MA IVY PAULINE C SAMANIEGO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017085

License Status

ACTIVE

Business

First Name

MA IVY PAULINE

Middle

Last Name

SAMANIEGO

Business Name

MA IVY PAULINE C SAMANIEGO

Original Issue Date

05/05/2009

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

09/16/2024