MARK O FABISH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014232

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

FABISH

Business Name

MARK O FABISH

Original Issue Date

12/01/2004

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/06/2024