GIAN CARLO MABANTA MORALES - Physical Therapist License in Illinois | # 070022623

GIAN CARLO MABANTA MORALES

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022623

License Status

ACTIVE

Business

N

First Name

GIAN CARLO

Middle

MABANTA

Last Name

MORALES

Business Name

GIAN CARLO MABANTA MORALES

Original Issue Date

08/30/2016

Effective Date

08/25/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/25/2024