ANNA L MANGANO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005482

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

MANGANO

Business Name

ANNA L MANGANO

Original Issue Date

08/04/2010

Effective Date

08/07/2015

Expiration Date

09/30/2017

City

MARENGO

State

Zip

60152

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/01/2017