GRANT C PANZELLA - Physical Therapist License in Illinois | # 070026061

GRANT C PANZELLA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026061

License Status

ACTIVE

Business

N

First Name

GRANT

Middle

C

Last Name

PANZELLA

Business Name

GRANT C PANZELLA

Original Issue Date

08/13/2021

Effective Date

07/19/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2024