EMMA GIANCARLI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002854

License Status

NOT RENEWED

Business

First Name

EMMA

Last Name

GIANCARLI

Business Name

EMMA GIANCARLI

Original Issue Date

02/05/1979

Effective Date

09/02/2014

Expiration Date

09/30/2016

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/26/2016