MICHAEL J PISCITELLO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009909

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

PISCITELLO

Business Name

MICHAEL J PISCITELLO

Original Issue Date

01/09/1997

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

11/08/2006