NICHOLAS J AFFATATO - Physical Therapist License in Illinois | # 070003104

NICHOLAS J AFFATATO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003104

License Status

INACTIVE

Business

N

First Name

NICHOLAS J

Last Name

AFFATATO

Business Name

NICHOLAS J AFFATATO

Original Issue Date

12/24/1979

Effective Date

07/09/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/05/2012