VICKIE LYNN FRAZZETTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000650

License Status

NOT RENEWED

Business

First Name

VICKIE LYNN

Last Name

FRAZZETTA

Business Name

VICKIE LYNN FRAZZETTA

Original Issue Date

10/02/1991

Effective Date

09/13/2017

Expiration Date

09/30/2019

City

TOULON

State

Zip

61483

County

STARK

Ever Disciplined

LastModifiedDate

01/13/2020