RODRIGO LOPEZ DIAZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010327

License Status

ACTIVE

Business

First Name

RODRIGO

Last Name

LOPEZ DIAZ

Business Name

RODRIGO LOPEZ DIAZ

Original Issue Date

11/12/2024

Effective Date

08/18/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2026