MAILA STA ROMANA - Physical Therapist License in Illinois | # 070019644

MAILA STA ROMANA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019644

License Status

NOT RENEWED

Business

N

First Name

MAILA

Last Name

STA ROMANA

Business Name

MAILA STA ROMANA

Original Issue Date

12/11/2012

Effective Date

09/16/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022