GARRY GABIONZA TAGLE - Physical Therapist License in Illinois | # 070013388

GARRY GABIONZA TAGLE

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013388

License Status

ACTIVE

Business

N

First Name

GARRY

Middle

GABIONZA

Last Name

TAGLE

Business Name

GARRY GABIONZA TAGLE

Original Issue Date

03/03/2003

Effective Date

07/24/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/24/2024