MARISSA P FANCO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007425

License Status

INACTIVE

Business

First Name

MARISSA P

Last Name

FANCO

Business Name

MARISSA P FANCO

Original Issue Date

02/03/1993

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2008