MARY ELAINE MABAYAG FABRICANTE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014844

License Status

ACTIVE

Business

First Name

MARY ELAINE

Middle

MABAYAG

Last Name

FABRICANTE

Business Name

MARY ELAINE MABAYAG FABRICANTE

Original Issue Date

02/08/2006

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2024