ANNIE P ASCENCIO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007434

License Status

NOT RENEWED

Business

First Name

ANNIE

Middle

Last Name

ASCENCIO

Business Name

ANNIE P ASCENCIO

Original Issue Date

03/07/2016

Effective Date

03/07/2016

Expiration Date

09/30/2017

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017