CHARLTON FANTILAGAN CABIOS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021836

License Status

NOT RENEWED

Business

First Name

CHARLTON

Middle

FANTILAGAN

Last Name

CABIOS

Business Name

CHARLTON FANTILAGAN CABIOS

Original Issue Date

09/17/2015

Effective Date

08/16/2016

Expiration Date

09/30/2018

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018