NICHOLAS J AFFATATO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003104

License Status

INACTIVE

Business

First Name

NICHOLAS J

Last Name

AFFATATO

Business Name

NICHOLAS J AFFATATO

Original Issue Date

12/24/1979

Effective Date

07/09/2010

Expiration Date

09/30/2012

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/05/2012