BUEN VIDAD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005627

License Status

ACTIVE

Business

First Name

BUEN

Last Name

VIDAD

Business Name

BUEN VIDAD

Original Issue Date

01/13/2011

Effective Date

09/24/2025

Expiration Date

09/30/2027

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

09/24/2025