JOHANNA ENCLONAR EWICAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019953

License Status

NOT RENEWED

Business

First Name

JOHANNA

Middle

ENCLONAR

Last Name

EWICAN

Business Name

JOHANNA ENCLONAR EWICAN

Original Issue Date

07/31/2013

Effective Date

09/04/2020

Expiration Date

09/30/2022

City

DANVILL

State

Zip

61832

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022