FEDERICO ETORALDE DULALAS II Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021188

License Status

NOT RENEWED

Business

First Name

FEDERICO

Middle

ETORALDE

Last Name

DULALAS II

Business Name

FEDERICO ETORALDE DULALAS II

Original Issue Date

11/25/2014

Effective Date

09/19/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60640

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/05/2018