MARY A VERISSIMO - Physical Therapist License in Illinois | # 070018873

MARY A VERISSIMO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018873

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

A

Last Name

VERISSIMO

Business Name

MARY A VERISSIMO

Original Issue Date

11/16/2011

Effective Date

09/15/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

11/26/2016