ANTHONY J IPPOLITO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007116

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

IPPOLITO

Business Name

ANTHONY J IPPOLITO

Original Issue Date

05/28/2015

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020