MARIBEL FAELNAR BACALAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015159

License Status

INACTIVE

Business

First Name

MARIBEL

Middle

FAELNAR

Last Name

BACALAN

Business Name

MARIBEL FAELNAR BACALAN

Original Issue Date

06/27/2006

Effective Date

08/09/2016

Expiration Date

09/30/2018

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

08/09/2016