KENNETH ALBERT FABABAIR VALENZUELA - Physical Therapist License in Illinois | # 070020735

KENNETH ALBERT FABABAIR VALENZUELA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020735

License Status

ACTIVE

Business

N

First Name

KENNETH ALBERT

Middle

FABABAIR

Last Name

VALENZUELA

Business Name

KENNETH ALBERT FABABAIR VALENZUELA

Original Issue Date

07/17/2014

Effective Date

09/28/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/28/2024