CARA JEAN TABATABAI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010069

License Status

INACTIVE

Business

First Name

CARA JEAN

Last Name

TABATABAI

Business Name

CARA JEAN TABATABAI

Original Issue Date

04/02/1997

Effective Date

09/15/2020

Expiration Date

09/30/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/25/2022