MARIO J MITAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003563

License Status

NOT RENEWED

Business

First Name

MARIO

Middle

Last Name

MITAN

Business Name

MARIO J MITAN

Original Issue Date

02/02/2000

Effective Date

08/19/2023

Expiration Date

09/30/2025

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

12/30/2025