ISMAEL MESITAS BERMUDO JR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007519

License Status

NOT RENEWED

Business

First Name

ISMAEL

Middle

MESITAS

Last Name

BERMUDO

Suffix

Business Name

ISMAEL MESITAS BERMUDO JR

Original Issue Date

05/03/1993

Effective Date

05/03/1993

Expiration Date

09/30/2004

City

WEST HOLLYWOOD

State

Zip

90069

Ever Disciplined

LastModifiedDate

10/17/2005