EILEEN DIANE C CHAVEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022710

License Status

NOT RENEWED

Business

First Name

EILEEN DIANE

Middle

Last Name

CHAVEZ

Business Name

EILEEN DIANE C CHAVEZ

Original Issue Date

11/09/2016

Effective Date

09/19/2022

Expiration Date

09/30/2024

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/27/2025