MARCY BETH MODICA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015190

License Status

INACTIVE

Business

First Name

MARCY

Middle

BETH

Last Name

MODICA

Business Name

MARCY BETH MODICA

Original Issue Date

07/20/2006

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2008