LUCIANO M PADILLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000153

License Status

NOT RENEWED

Business

First Name

LUCIANO M

Last Name

PADILLA

Business Name

LUCIANO M PADILLA

Original Issue Date

07/01/1991

Effective Date

09/27/2017

Expiration Date

09/30/2019

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

01/13/2020