MARK ANTHONY MAPUA INOCENCIO - Physical Therapist License in California | # 070015600

MARK ANTHONY MAPUA INOCENCIO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015600

License Status

NOT RENEWED

Business

N

First Name

MARK ANTHONY

Middle

MAPUA

Last Name

INOCENCIO

Business Name

MARK ANTHONY MAPUA INOCENCIO

Original Issue Date

02/28/2007

Effective Date

09/29/2008

Expiration Date

09/30/2010

State

CA

Ever Disciplined

N

LastModifiedDate

11/08/2010