TERESA M VITALE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004900

License Status

NOT RENEWED

Business

First Name

TERESA M

Last Name

VITALE

Business Name

TERESA M VITALE

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

09/30/2000

City

BAINBRIDGE

State

Zip

44023

County

OHIO

Ever Disciplined

LastModifiedDate

10/17/2005