KEVIN LEO VICARI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024739

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

LEO

Last Name

VICARI

Business Name

KEVIN LEO VICARI

Original Issue Date

09/04/2019

Effective Date

09/22/2020

Expiration Date

09/30/2022

City

GRAND RAPIDS

State

Zip

49546

Ever Disciplined

LastModifiedDate

11/28/2022