JASON A COLENZO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006318

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

COLENZO

Business Name

JASON A COLENZO

Original Issue Date

12/14/2012

Effective Date

09/21/2015

Expiration Date

09/30/2017

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017