ILDE BOY T VELASCO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022939

License Status

NOT RENEWED

Business

First Name

ILDE BOY

Middle

Last Name

VELASCO

Business Name

ILDE BOY T VELASCO

Original Issue Date

05/17/2017

Effective Date

06/30/2022

Expiration Date

09/30/2024

City

SAINT LOUIS

State

Zip

63102

Ever Disciplined

LastModifiedDate

02/27/2025