ASHEAN RELUCIO BACON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020871

License Status

INACTIVE

Business

First Name

ASHEAN

Middle

RELUCIO

Last Name

BACON

Business Name

ASHEAN RELUCIO BACON

Original Issue Date

08/20/2014

Effective Date

07/14/2016

Expiration Date

09/30/2018

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/07/2018