License holder summary

MOONYEEN CRISADEL EGUIA is a Temporary Physical Therapist Permit licensed to practice in Indiana. The address on file for MOONYEEN CRISADEL EGUIA is Forest Park IL 60130. This licensed professional license is not current. The license was granted 02/20/2002 and expired on 12/04/2002.

Indiana

Professional Licensing Agency

MOONYEEN CRISADEL EGUIA
Temporary Physical Therapist Permit
License number
99005139A
Date granted
02/20/2002
Date expires
12/04/2002
Class
Temporary Physical Therapist Permit
Status
Expired
Address
Forest Park IL 60130
indianalicensing.org
ID 8380369
LAST UPDATED 2024-04-22 17:35:47 UTC

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