KYLE REN BARCENAS FERNANDO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024281

License Status

ACTIVE

Business

First Name

KYLE REN

Middle

BARCENAS

Last Name

FERNANDO

Business Name

KYLE REN BARCENAS FERNANDO

Original Issue Date

05/02/2019

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

09/05/2024