MARY ADELE ANGELICO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004690

License Status

ACTIVE

Business

First Name

MARY

Middle

ADELE

Last Name

ANGELICO

Business Name

MARY ADELE ANGELICO

Original Issue Date

01/15/1986

Effective Date

07/06/2024

Expiration Date

09/30/2026

City

WESTERN SPGS

State

Zip

60558

Ever Disciplined

LastModifiedDate

07/06/2024