MALLORY FETTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020107

License Status

NOT RENEWED

Business

First Name

MALLORY

Last Name

FETTA

Business Name

MALLORY FETTA

Original Issue Date

08/19/2013

Effective Date

07/14/2014

Expiration Date

09/30/2016

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016