LAUREN MARIE DAVIERA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010195

License Status

ACTIVE

Business

First Name

LAUREN

Middle

MARIE

Last Name

DAVIERA

Business Name

LAUREN MARIE DAVIERA

Original Issue Date

08/08/2024

Effective Date

08/19/2025

Expiration Date

09/30/2027

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

08/19/2025