MISHELLE A MAZZONE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005096

License Status

ACTIVE

Business

First Name

MISHELLE A

Last Name

MAZZONE

Business Name

MISHELLE A MAZZONE

Original Issue Date

03/28/1987

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2024