MARY GRACE ABARCA BAUTISTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015239

License Status

NOT RENEWED

Business

First Name

MARY GRACE

Middle

ABARCA

Last Name

BAUTISTA

Business Name

MARY GRACE ABARCA BAUTISTA

Original Issue Date

08/21/2006

Effective Date

08/21/2020

Expiration Date

09/30/2022

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/28/2022