BRIAN A DIBASILIO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005751

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

DIBASILIO

Business Name

BRIAN A DIBASILIO

Original Issue Date

08/19/2011

Effective Date

09/29/2025

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60004

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/29/2025