GINGERLY VALLADOLID BOLALIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018258

License Status

NOT RENEWED

Business

First Name

GINGERLY

Middle

VALLADOLID

Last Name

BOLALIN

Business Name

GINGERLY VALLADOLID BOLALIN

Original Issue Date

01/06/2011

Effective Date

09/28/2012

Expiration Date

09/30/2014

City

CENTER POINT

State

Zip

35215

County

ALABAMA

Ever Disciplined

LastModifiedDate

11/17/2014