DIVINE GRACE OCAMPO RODRIGUEZ - Physical Therapist License in New Jersey | # 070011367

DIVINE GRACE OCAMPO RODRIGUEZ

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011367

License Status

INACTIVE

Business

N

First Name

DIVINE GRACE

Middle

OCAMPO

Last Name

RODRIGUEZ

Business Name

DIVINE GRACE OCAMPO RODRIGUEZ

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

09/30/2004

State

NJ

Ever Disciplined

N

LastModifiedDate

09/01/2006