PHILIP ANTHONY FABRIZIO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022275

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

ANTHONY

Last Name

FABRIZIO

Business Name

PHILIP ANTHONY FABRIZIO

Original Issue Date

07/27/2016

Effective Date

07/27/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/05/2018