TRACY TAYLOR AGBUNAG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015251

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

TAYLOR

Last Name

AGBUNAG

Business Name

TRACY TAYLOR AGBUNAG

Original Issue Date

08/21/2006

Effective Date

07/28/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010