KELLY C BASILE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014946

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

BASILE

Business Name

KELLY C BASILE

Original Issue Date

03/22/2006

Effective Date

08/11/2008

Expiration Date

09/30/2010

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/08/2010