GABRIELLE RENEE TANQUILUT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027912

License Status

ACTIVE

Business

First Name

GABRIELLE

Middle

RENEE

Last Name

TANQUILUT

Business Name

GABRIELLE RENEE TANQUILUT

Original Issue Date

11/08/2023

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60654

Ever Disciplined

LastModifiedDate

09/16/2024