EDUARDO PENA - Physical Therapist License in Illinois | # 070022729

EDUARDO PENA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022729

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022