KIMBERLY A FANTINI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000767

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

FANTINI

Business Name

KIMBERLY A FANTINI

Original Issue Date

10/16/1991

Effective Date

10/16/1991

Expiration Date

09/30/2005

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005