DOMINGO BALTAZAR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006044

License Status

ACTIVE

Business

First Name

DOMINGO

Last Name

BALTAZAR

Business Name

DOMINGO BALTAZAR

Original Issue Date

08/08/2012

Effective Date

09/25/2025

Expiration Date

09/30/2027

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2025