DAVID A ANZELMO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005289

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

ANZELMO

Business Name

DAVID A ANZELMO

Original Issue Date

12/22/1987

Effective Date

12/22/1987

Expiration Date

09/30/1994

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005