VITALIY M STEFANOV Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025188

License Status

ACTIVE

Business

First Name

VITALIY

Middle

Last Name

STEFANOV

Business Name

VITALIY M STEFANOV

Original Issue Date

06/15/2020

Effective Date

07/16/2024

Expiration Date

09/30/2026

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/21/2025