VITALIY M STEFANOV - Physical Therapist License in Illinois | # 070025188

VITALIY M STEFANOV

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025188

License Status

ACTIVE

Business

N

First Name

VITALIY

Middle

M

Last Name

STEFANOV

Business Name

VITALIY M STEFANOV

Original Issue Date

06/15/2020

Effective Date

07/16/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

01/21/2025