RENA L FRAGALE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004844

License Status

NOT RENEWED

Business

First Name

RENA

Middle

Last Name

FRAGALE

Business Name

RENA L FRAGALE

Original Issue Date

09/10/2007

Effective Date

04/29/2016

Expiration Date

09/30/2017

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017