MARIE ANN CABACUNGAN BALLAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016829

License Status

NOT RENEWED

Business

First Name

MARIE ANN

Middle

CABACUNGAN

Last Name

BALLAN

Business Name

MARIE ANN CABACUNGAN BALLAN

Original Issue Date

12/12/2008

Effective Date

12/12/2008

Expiration Date

09/30/2010

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/08/2010