MARK ANTHONY MAPUA INOCENCIO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015600

License Status

NOT RENEWED

Business

First Name

MARK ANTHONY

Middle

MAPUA

Last Name

INOCENCIO

Business Name

MARK ANTHONY MAPUA INOCENCIO

Original Issue Date

02/28/2007

Effective Date

09/29/2008

Expiration Date

09/30/2010

City

CHINO

State

Zip

91710

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/08/2010