FABIANA D SULLO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024094

License Status

NOT RENEWED

Business

First Name

FABIANA

Middle

Last Name

SULLO

Business Name

FABIANA D SULLO

Original Issue Date

11/16/2018

Effective Date

09/30/2020

Expiration Date

09/30/2022

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022