AZENITH TUPAS POLANCOS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027609

License Status

ACTIVE

Business

First Name

AZENITH

Middle

TUPAS

Last Name

POLANCOS

Business Name

AZENITH TUPAS POLANCOS

Original Issue Date

06/28/2023

Effective Date

02/23/2026

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/23/2026