MARY ANN CERNA CABATAAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018946

License Status

NOT RENEWED

Business

First Name

MARY ANN

Middle

CERNA

Last Name

CABATAAN

Business Name

MARY ANN CERNA CABATAAN

Original Issue Date

02/09/2012

Effective Date

07/05/2012

Expiration Date

09/30/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014