ANGELI JUSTINE C MATA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026976

License Status

ACTIVE

Business

First Name

ANGELI JUSTINE

Middle

Last Name

MATA

Business Name

ANGELI JUSTINE C MATA

Original Issue Date

09/28/2022

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

ADDISON

State

Zip

60101

Ever Disciplined

LastModifiedDate

08/22/2024