KIMBERLY A FANTINI - Physical Therapist License in Illinois | # 160000767

KIMBERLY A FANTINI

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000767

License Status

INACTIVE

Business

N

First Name

KIMBERLY

Middle

A

Last Name

FANTINI

Business Name

KIMBERLY A FANTINI

Original Issue Date

10/16/1991

Effective Date

10/16/1991

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005