GRANT C PANZELLA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026061

License Status

ACTIVE

Business

First Name

GRANT

Middle

Last Name

PANZELLA

Business Name

GRANT C PANZELLA

Original Issue Date

08/13/2021

Effective Date

07/19/2024

Expiration Date

09/30/2026

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

07/19/2024