JUSTIN J BASI - Physical Therapist License in Illinois | # 070013896

JUSTIN J BASI

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013896

License Status

ACTIVE

Business

N

First Name

JUSTIN

Middle

J

Last Name

BASI

Business Name

JUSTIN J BASI

Original Issue Date

05/19/2004

Effective Date

08/13/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/13/2024