MAILA STA ROMANA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019644

License Status

NOT RENEWED

Business

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

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022