MARY ELLEN MODICA - Physical Therapist License in Illinois | # 070003777

MARY ELLEN MODICA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003777

License Status

ACTIVE

Business

N

First Name

MARY ELLEN

Last Name

MODICA

Business Name

MARY ELLEN MODICA

Original Issue Date

11/08/1982

Effective Date

08/04/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/04/2024