ROSEN G GAVINO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014696

License Status

ACTIVE

Business

First Name

ROSEN

Middle

Last Name

GAVINO

Business Name

ROSEN G GAVINO

Original Issue Date

10/07/2005

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/12/2024