ROLAND F MALLARE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005217

License Status

ACTIVE

Business

First Name

ROLAND

Middle

Last Name

MALLARE

Business Name

ROLAND F MALLARE

Original Issue Date

07/22/2009

Effective Date

08/30/2025

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/30/2025