JOHN PETER MACCANELLI Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025061

License Status

ACTIVE

Business

First Name

JOHN

Middle

PETER

Last Name

MACCANELLI

Business Name

JOHN PETER MACCANELLI

Original Issue Date

04/08/2020

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

KENOSHA

State

Zip

53140

Ever Disciplined

LastModifiedDate

09/03/2024