KELLY M ROTOLO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000276

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

ROTOLO

Business Name

KELLY M ROTOLO

Original Issue Date

07/25/1991

Effective Date

07/24/2017

Expiration Date

09/30/2019

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020