GARRY GABIONZA TAGLE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013388

License Status

ACTIVE

Business

First Name

GARRY

Middle

GABIONZA

Last Name

TAGLE

Business Name

GARRY GABIONZA TAGLE

Original Issue Date

03/03/2003

Effective Date

07/24/2024

Expiration Date

09/30/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2024