MICHAEL GAMBOA RIVERA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016760

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

GAMBOA

Last Name

RIVERA

Business Name

MICHAEL GAMBOA RIVERA

Original Issue Date

10/14/2008

Effective Date

09/25/2014

Expiration Date

09/30/2016

City

MODESTO

State

Zip

95355

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/26/2016