SELINA G LOPEZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025527

License Status

ACTIVE

Business

First Name

SELINA

Middle

Last Name

LOPEZ

Business Name

SELINA G LOPEZ

Original Issue Date

09/04/2020

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60632

Ever Disciplined

LastModifiedDate

09/06/2024