ANGELICA M BERTUCCI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001452

License Status

INACTIVE

Business

First Name

ANGELICA M

Last Name

BERTUCCI

Business Name

ANGELICA M BERTUCCI

Original Issue Date

03/26/1992

Effective Date

09/27/2013

Expiration Date

09/30/2015

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

07/06/2015