MARY CRISTINE MONTALBO TABAQUIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013415

License Status

INACTIVE

Business

First Name

MARY CRISTINE

Middle

MONTALBO

Last Name

TABAQUIN

Business Name

MARY CRISTINE MONTALBO TABAQUIN

Original Issue Date

03/17/2003

Effective Date

03/17/2003

Expiration Date

09/30/2004

City

FORT HILLS

State

Zip

11375

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/01/2006