MARY A VERISSIMO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018873

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

VERISSIMO

Business Name

MARY A VERISSIMO

Original Issue Date

11/16/2011

Effective Date

09/15/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016