SHELLEY D FORTUNATO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006858

License Status

INACTIVE

Business

First Name

SHELLEY D

Last Name

FORTUNATO

Business Name

SHELLEY D FORTUNATO

Original Issue Date

02/22/1992

Effective Date

08/04/2020

Expiration Date

09/30/2022

City

BARRINGTON

State

Zip

60010

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/18/2022