CARISSA L ATHANS - Physical Therapist License in Illinois | # 160008795

CARISSA L ATHANS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008795

License Status

NOT RENEWED

Business

N

First Name

CARISSA

Middle

L

Last Name

ATHANS

Business Name

CARISSA L ATHANS

Original Issue Date

10/28/2019

Effective Date

10/28/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022