VIRGINIA A RARIDON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003887

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Middle

Last Name

RARIDON

Business Name

VIRGINIA A RARIDON

Original Issue Date

09/06/2001

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

TONICA

State

Zip

61370

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/13/2020