LUCILLE SHERRY MAE GUETA CERVANTES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019568

License Status

NOT RENEWED

Business

First Name

LUCILLE SHERRY MAE

Middle

GUETA

Last Name

CERVANTES

Business Name

LUCILLE SHERRY MAE GUETA CERVANTES

Original Issue Date

11/05/2012

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022