EDUARDO PENA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022729

License Status

NOT RENEWED

Business

First Name

EDUARDO

Last Name

PENA

Business Name

EDUARDO PENA

Original Issue Date

11/29/2016

Effective Date

07/30/2020

Expiration Date

09/30/2022

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

11/28/2022