CONNIE L FUSCO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000434

License Status

NOT RENEWED

Business

First Name

CONNIE L

Last Name

FUSCO

Business Name

CONNIE L FUSCO

Original Issue Date

08/18/1991

Effective Date

08/18/1991

Expiration Date

09/30/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005