KRYSTABELLE BULAWIN DE ASIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024126

License Status

ACTIVE

Business

First Name

KRYSTABELLE

Middle

BULAWIN

Last Name

DE ASIS

Business Name

KRYSTABELLE BULAWIN DE ASIS

Original Issue Date

12/14/2018

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

09/24/2024