VICTOR E LIDAYWA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017800

License Status

ACTIVE

Business

First Name

VICTOR

Middle

Last Name

LIDAYWA

Business Name

VICTOR E LIDAYWA

Original Issue Date

06/15/2010

Effective Date

09/18/2024

Expiration Date

09/30/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/18/2024