JESUS M DOMINGUEZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019384

License Status

ACTIVE

Business

First Name

JESUS

Middle

Last Name

DOMINGUEZ

Business Name

JESUS M DOMINGUEZ

Original Issue Date

08/17/2012

Effective Date

08/20/2024

Expiration Date

09/30/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

08/20/2024