KRYSTAL PENA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029403

License Status

ACTIVE

Business

First Name

KRYSTAL

Last Name

PENA

Business Name

KRYSTAL PENA

Original Issue Date

08/26/2025

Effective Date

08/26/2025

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

08/26/2025