PHILLIP M SPARACINO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001685

License Status

NOT RENEWED

Business

First Name

PHILLIP M

Last Name

SPARACINO

Business Name

PHILLIP M SPARACINO

Original Issue Date

03/20/1973

Effective Date

08/18/2020

Expiration Date

09/30/2022

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

11/28/2022