XAN C LOPEZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008438

License Status

ACTIVE

Business

First Name

XAN

Middle

Last Name

LOPEZ

Business Name

XAN C LOPEZ

Original Issue Date

10/26/2018

Effective Date

09/26/2025

Expiration Date

09/30/2027

City

BERWYN

State

Zip

60402

Ever Disciplined

LastModifiedDate

09/26/2025