CHARLES LESLIE M ROQUE - Physical Therapist License in California | # 070008740

CHARLES LESLIE M ROQUE

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008740

License Status

INACTIVE

Business

N

First Name

CHARLES LESLIE M

Last Name

ROQUE

Business Name

CHARLES LESLIE M ROQUE

Original Issue Date

05/01/1995

Effective Date

05/01/1995

Expiration Date

09/30/2002

State

CA

Ever Disciplined

N

LastModifiedDate

10/17/2005