COLIN M MATTIACE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011775

License Status

ACTIVE

Business

First Name

COLIN

Middle

Last Name

MATTIACE

Business Name

COLIN M MATTIACE

Original Issue Date

03/01/2000

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/30/2024