EDMUNDO L VILLANUEVA JR Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006642

License Status

INACTIVE

Business

First Name

EDMUNDO L

Last Name

VILLANUEVA JR

Business Name

EDMUNDO L VILLANUEVA JR

Original Issue Date

09/30/1991

Effective Date

09/30/1991

Expiration Date

09/30/2000

City

LAKELAND

State

Zip

33813

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005