JO ANN M FASEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008025

License Status

NOT RENEWED

Business

First Name

JO ANN M

Last Name

FASEN

Business Name

JO ANN M FASEN

Original Issue Date

01/22/1994

Effective Date

07/19/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/16/2013