JAY S ICASIANO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004405

License Status

ACTIVE

Business

First Name

JAY

Middle

Last Name

ICASIANO

Business Name

JAY S ICASIANO

Original Issue Date

02/09/2005

Effective Date

09/22/2025

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/22/2025