STANISLAV C MARAVILLA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007566

License Status

ACTIVE

Business

First Name

STANISLAV C

Last Name

MARAVILLA

Business Name

STANISLAV C MARAVILLA

Original Issue Date

05/08/1993

Effective Date

09/15/2024

Expiration Date

09/30/2026

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

09/15/2024