ANDREW BALTAZAR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010311

License Status

ACTIVE

Business

First Name

ANDREW

Last Name

BALTAZAR

Prefix

Business Name

ANDREW BALTAZAR

Original Issue Date

11/07/2024

Effective Date

08/07/2025

Expiration Date

09/30/2027

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

08/07/2025