LUCIA CARROLL DELISA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020745

License Status

NOT RENEWED

Business

First Name

LUCIA

Middle

CARROLL

Last Name

DELISA

Business Name

LUCIA CARROLL DELISA

Original Issue Date

07/24/2014

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

CAMBRIDGE

State

Zip

02141

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021