VICKI MARIA TYSSELING MATTIACE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011158

License Status

ACTIVE

Business

First Name

VICKI MARIA

Middle

TYSSELING

Last Name

MATTIACE

Business Name

VICKI MARIA TYSSELING MATTIACE

Original Issue Date

02/24/1999

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2024