JENNIFER TABLAC LACANLALE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017145

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

TABLAC LACANLALE

Business Name

JENNIFER TABLAC LACANLALE

Original Issue Date

06/19/2009

Effective Date

07/14/2010

Expiration Date

09/30/2012

City

LA PUENTE

State

Zip

91744

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/16/2013