ISABEL BONILLAS GONZALES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001837

License Status

NOT RENEWED

Business

First Name

ISABEL BONILLAS

Last Name

GONZALES

Business Name

ISABEL BONILLAS GONZALES

Original Issue Date

01/06/1994

Effective Date

01/06/1994

Expiration Date

09/30/1995

City

MAMMOTH

State

Zip

85168

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/14/2005