ROMAN C VILLAPANDO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005795

License Status

INACTIVE

Business

First Name

ROMAN

Middle

Last Name

VILLAPANDO

Business Name

ROMAN C VILLAPANDO

Original Issue Date

09/14/2011

Effective Date

11/11/2021

Expiration Date

09/30/2023

City

CARSON

State

Zip

90746

Ever Disciplined

LastModifiedDate

06/28/2023