SAMUEL TAMBAGO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016190

License Status

ACTIVE

Business

First Name

SAMUEL

Last Name

TAMBAGO

Business Name

SAMUEL TAMBAGO

Original Issue Date

01/24/2008

Effective Date

07/19/2024

Expiration Date

09/30/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

07/19/2024