STEPHANIE NICOLE GACONO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020485

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

NICOLE

Last Name

GACONO

Business Name

STEPHANIE NICOLE GACONO

Original Issue Date

12/24/2013

Effective Date

08/26/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022