CHARLES EDMUND DADIVAS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027101

License Status

ACTIVE

Business

First Name

CHARLES

Middle

EDMUND

Last Name

DADIVAS

Business Name

CHARLES EDMUND DADIVAS

Original Issue Date

11/09/2022

Effective Date

08/08/2024

Expiration Date

09/30/2026

City

DES PLAINES

State

Zip

60016

Ever Disciplined

LastModifiedDate

08/08/2024