IRENE PAULINE PADILLA ILAGAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021706

License Status

NOT RENEWED

Business

First Name

IRENE PAULINE

Middle

PADILLA

Last Name

ILAGAN

Business Name

IRENE PAULINE PADILLA ILAGAN

Original Issue Date

08/17/2015

Effective Date

07/30/2020

Expiration Date

09/30/2022

City

WOODSIDE

State

Zip

11377

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/28/2022