EMMANUEL O ATIVIE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005804

License Status

NOT RENEWED

Business

First Name

EMMANUEL

Middle

Last Name

ATIVIE

Business Name

EMMANUEL O ATIVIE

Original Issue Date

09/20/2011

Effective Date

09/18/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2015