CHARLES LESLIE M ROQUE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008740

License Status

INACTIVE

Business

First Name

CHARLES LESLIE M

Last Name

ROQUE

Business Name

CHARLES LESLIE M ROQUE

Original Issue Date

05/01/1995

Effective Date

05/01/1995

Expiration Date

09/30/2002

City

CORONA

State

Zip

92882

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005