TINA M DELUCA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002282

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

DELUCA

Business Name

TINA M DELUCA

Original Issue Date

09/11/1995

Effective Date

09/11/1995

Expiration Date

09/30/2003

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005