MARIE ANTONETTE BALDERAMA BONGALONTA - Physical Therapist License in Florida | # 070020367

MARIE ANTONETTE BALDERAMA BONGALONTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020367

License Status

NOT RENEWED

Business

N

First Name

MARIE ANTONETTE

Middle

BALDERAMA

Last Name

BONGALONTA

Business Name

MARIE ANTONETTE BALDERAMA BONGALONTA

Original Issue Date

10/16/2013

Effective Date

10/16/2013

Expiration Date

09/30/2014

State

FL

Ever Disciplined

N

LastModifiedDate

11/17/2014