MARWIN S TABA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005743

License Status

NOT RENEWED

Business

First Name

MARWIN

Middle

Last Name

TABA

Business Name

MARWIN S TABA

Original Issue Date

08/18/2011

Effective Date

08/30/2017

Expiration Date

09/30/2019

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/13/2020