AMADOR AYALA III Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023307

License Status

ACTIVE

Business

First Name

AMADOR

Last Name

AYALA

Suffix

III

Business Name

AMADOR AYALA III

Original Issue Date

09/06/2017

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

LAKE VILLA

State

Zip

60046

Ever Disciplined

LastModifiedDate

09/30/2024