DENISE FONTANA SMITH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014084

License Status

ACTIVE

Business

First Name

DENISE

Middle

FONTANA

Last Name

SMITH

Business Name

DENISE FONTANA SMITH

Original Issue Date

08/19/2004

Effective Date

09/18/2024

Expiration Date

09/30/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/18/2024