GUSTAVO D CABAGNA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011323

License Status

INACTIVE

Business

First Name

GUSTAVO

Middle

Last Name

CABAGNA

Business Name

GUSTAVO D CABAGNA

Original Issue Date

05/17/1999

Effective Date

09/29/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2010