DOMENIC D DIPROVA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027491

License Status

ACTIVE

Business

First Name

DOMENIC

Middle

Last Name

DIPROVA

Business Name

DOMENIC D DIPROVA

Original Issue Date

05/26/2023

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

LAKE VILLA

State

Zip

60046

Ever Disciplined

LastModifiedDate

09/17/2024