MARISSA ROSE VYCITAL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019194

License Status

ACTIVE

Business

First Name

MARISSA

Middle

ROSE

Last Name

VYCITAL

Business Name

MARISSA ROSE VYCITAL

Original Issue Date

07/30/2012

Effective Date

09/01/2024

Expiration Date

09/30/2026

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2024