JUSTIN J DE PERALTA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021928

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

DE PERALTA

Business Name

JUSTIN J DE PERALTA

Original Issue Date

12/01/2015

Effective Date

08/09/2024

Expiration Date

09/30/2026

City

BOLINGBROOK

State

Zip

60490

County

COOK

Ever Disciplined

LastModifiedDate

08/09/2024