REYNALDO BANTON LACSON JR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022793

License Status

NOT RENEWED

Business

Title

First Name

REYNALDO

Middle

BANTON

Last Name

LACSON

Business Name

REYNALDO BANTON LACSON JR

Original Issue Date

02/02/2017

Effective Date

02/02/2017

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018