VINCENT A NASTAV Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003319

License Status

NOT RENEWED

Business

First Name

VINCENT

Middle

Last Name

NASTAV

Business Name

VINCENT A NASTAV

Original Issue Date

03/08/1999

Effective Date

03/08/1999

Expiration Date

09/30/2005

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005