CRIS DERVIN DIONISIO FEDALIZO - Physical Therapist License in Illinois | # 070019651

CRIS DERVIN DIONISIO FEDALIZO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019651

License Status

NOT RENEWED

Business

N

First Name

CRIS DERVIN

Middle

DIONISIO

Last Name

FEDALIZO

Business Name

CRIS DERVIN DIONISIO FEDALIZO

Original Issue Date

12/18/2012

Effective Date

09/13/2022

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/27/2025