ANTHONY S GRAVIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021832

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

GRAVIN

Business Name

ANTHONY S GRAVIN

Original Issue Date

09/17/2015

Effective Date

09/17/2015

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016