MARK A FASICK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006744

License Status

ACTIVE

Business

First Name

MARK A

Last Name

FASICK

Business Name

MARK A FASICK

Original Issue Date

01/22/1992

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/24/2024