MARGARET M FONTANA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001175

License Status

NOT RENEWED

Business

First Name

MARGARET

Middle

Last Name

FONTANA

Business Name

MARGARET M FONTANA

Original Issue Date

12/20/1991

Effective Date

08/29/2013

Expiration Date

09/30/2015

City

CARBON HILL

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

11/03/2015