MARY ELIZABETH PONZO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002940

License Status

NOT RENEWED

Business

First Name

MARY ELIZABETH

Last Name

PONZO

Business Name

MARY ELIZABETH PONZO

Original Issue Date

06/28/1979

Effective Date

06/28/1979

Expiration Date

08/01/1982

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005