GUY W MATTANA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003151

License Status

NOT RENEWED

Business

First Name

GUY W

Last Name

MATTANA

Business Name

GUY W MATTANA

Original Issue Date

03/07/1980

Effective Date

03/07/1980

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005