IDRIS A OMOSANYA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006351

License Status

NOT RENEWED

Business

First Name

IDRIS

Middle

Last Name

OMOSANYA

Business Name

IDRIS A OMOSANYA

Original Issue Date

03/25/2013

Effective Date

03/25/2013

Expiration Date

09/30/2013

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

11/12/2013