VINCENT G ANTONIO - Physical Therapist License in Illinois | # 070012435

VINCENT G ANTONIO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012435

License Status

NOT RENEWED

Business

N

First Name

VINCENT

Middle

G

Last Name

ANTONIO

Business Name

VINCENT G ANTONIO

Original Issue Date

04/19/2001

Effective Date

04/19/2001

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005