LARENZA A PIOUS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006014

License Status

NOT RENEWED

Business

First Name

LARENZA

Middle

Last Name

PIOUS

Business Name

LARENZA A PIOUS

Original Issue Date

06/14/2012

Effective Date

09/23/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022