MA BLESS FRETSY TAJALE LUENGAS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022004

License Status

ACTIVE

Business

First Name

MA BLESS FRETSY

Middle

TAJALE

Last Name

LUENGAS

Business Name

MA BLESS FRETSY TAJALE LUENGAS

Original Issue Date

02/04/2016

Effective Date

09/18/2024

Expiration Date

09/30/2026

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/18/2024