LAUREN MAYA BALLESTRO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028334

License Status

ACTIVE

Business

First Name

LAUREN

Middle

MAYA

Last Name

BALLESTRO

Business Name

LAUREN MAYA BALLESTRO

Original Issue Date

06/03/2024

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

09/10/2024