PAUL TRACY DESIMONE - Physical Therapist License in Illinois | # 070015572

PAUL TRACY DESIMONE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015572

License Status

NOT RENEWED

Business

N

First Name

PAUL

Middle

TRACY

Last Name

DESIMONE

Business Name

PAUL TRACY DESIMONE

Original Issue Date

02/15/2007

Effective Date

07/16/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021