MARY GRACE ABARCA BAUTISTA - Physical Therapist License in Illinois | # 070015239

MARY GRACE ABARCA BAUTISTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015239

License Status

NOT RENEWED

Business

N

First Name

MARY GRACE

Middle

ABARCA

Last Name

BAUTISTA

Business Name

MARY GRACE ABARCA BAUTISTA

Original Issue Date

08/21/2006

Effective Date

08/21/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022