EMMANUEL O ATIVIE - Physical Therapist License in Illinois | # 160005804

EMMANUEL O ATIVIE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005804

License Status

NOT RENEWED

Business

N

First Name

EMMANUEL

Middle

O

Last Name

ATIVIE

Business Name

EMMANUEL O ATIVIE

Original Issue Date

09/20/2011

Effective Date

09/18/2013

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2015