IDRIS A OMOSANYA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019896

License Status

ACTIVE

Business

First Name

IDRIS

Middle

Last Name

OMOSANYA

Business Name

IDRIS A OMOSANYA

Original Issue Date

06/19/2013

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

ORLAND PARK

State

Zip

60462

Ever Disciplined

LastModifiedDate

07/04/2024