GLEN S GANDIONGCO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007662

License Status

NOT RENEWED

Business

First Name

GLEN S

Last Name

GANDIONGCO

Business Name

GLEN S GANDIONGCO

Original Issue Date

06/17/1993

Effective Date

06/17/1993

Expiration Date

09/30/2000

City

OCALA

State

Zip

34476

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005