LEE BALTAZAR QUERUBIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021271

License Status

ACTIVE

Business

First Name

LEE

Middle

BALTAZAR

Last Name

QUERUBIN

Business Name

LEE BALTAZAR QUERUBIN

Original Issue Date

02/13/2015

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/16/2024