MICHAEL L EDQUIBAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011407

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

EDQUIBAN

Business Name

MICHAEL L EDQUIBAN

Original Issue Date

08/04/1999

Effective Date

08/16/2024

Expiration Date

09/30/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2024