VINCENT L DIVIERO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023034

License Status

NOT RENEWED

Business

First Name

VINCENT

Middle

Last Name

DIVIERO

Business Name

VINCENT L DIVIERO

Original Issue Date

08/09/2017

Effective Date

09/19/2018

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

60544

Ever Disciplined

LastModifiedDate

01/14/2021