CARMEN D CRUZ SANTIAGO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000690

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

Last Name

CRUZ SANTIAGO

Business Name

CARMEN D CRUZ SANTIAGO

Original Issue Date

10/08/1991

Effective Date

09/11/2019

Expiration Date

01/31/2022

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022