MARY ANN DE CASTRO ZAMORA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006050

License Status

NOT RENEWED

Business

First Name

MARY ANN

Middle

DE CASTRO

Last Name

ZAMORA

Business Name

MARY ANN DE CASTRO ZAMORA

Original Issue Date

08/08/2012

Effective Date

08/05/2015

Expiration Date

09/30/2017

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017