GINA L BAGACONZA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015140

License Status

ACTIVE

Business

First Name

GINA

Middle

Last Name

BAGACONZA

Business Name

GINA L BAGACONZA

Original Issue Date

06/15/2006

Effective Date

08/03/2024

Expiration Date

09/30/2026

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

08/03/2024