MIRA ECILA V CASTILLO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020475

License Status

INACTIVE

Business

First Name

MIRA ECILA

Middle

Last Name

CASTILLO

Business Name

MIRA ECILA V CASTILLO

Original Issue Date

12/17/2013

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/27/2020