DOMERLIN UMPAD SODUSTA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028319

License Status

ACTIVE

Business

First Name

DOMERLIN

Middle

UMPAD

Last Name

SODUSTA

Business Name

DOMERLIN UMPAD SODUSTA

Original Issue Date

05/29/2024

Effective Date

10/12/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60631

Ever Disciplined

LastModifiedDate

10/12/2024