CONSUELO DIVINA GONZALES VIGILAR DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027265

License Status

ACTIVE

Business

Title

DPT

First Name

CONSUELO DIVINA

Middle

GONZALES

Last Name

VIGILAR

Business Name

CONSUELO DIVINA GONZALES VIGILAR DPT

Original Issue Date

03/08/2023

Effective Date

09/29/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/30/2025