JUAN M DIAZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004237

License Status

ACTIVE

Business

First Name

JUAN

Middle

Last Name

DIAZ

Business Name

JUAN M DIAZ

Original Issue Date

12/05/2003

Effective Date

09/22/2025

Expiration Date

09/30/2027

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2025