MYRNA FUENTES Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008881

License Status

ACTIVE

Business

First Name

MYRNA

Last Name

FUENTES

Business Name

MYRNA FUENTES

Original Issue Date

09/22/2021

Effective Date

10/01/2025

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

Ever Disciplined

LastModifiedDate

10/01/2025