CHARLES FLORENTINO ROM - Physical Therapist License in Indiana | # 070018940

CHARLES FLORENTINO ROM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018940

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

FLORENTINO

Last Name

ROM

Business Name

CHARLES FLORENTINO ROM

Original Issue Date

02/07/2012

Effective Date

09/10/2012

Expiration Date

09/30/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014