JUSTIN J BASI Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013896

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

BASI

Business Name

JUSTIN J BASI

Original Issue Date

05/19/2004

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

08/13/2024