NATHANIEL BAYBAYAN MIRADOR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018039

License Status

ACTIVE

Business

First Name

NATHANIEL

Middle

BAYBAYAN

Last Name

MIRADOR

Business Name

NATHANIEL BAYBAYAN MIRADOR

Original Issue Date

08/11/2010

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/05/2024