WILBUR BULAONG TABAMO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018855

License Status

NOT RENEWED

Business

First Name

WILBUR

Middle

BULAONG

Last Name

TABAMO

Business Name

WILBUR BULAONG TABAMO

Original Issue Date

11/07/2011

Effective Date

09/11/2012

Expiration Date

09/30/2014

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014