GERALDINE H GAMBOA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011565

License Status

NOT RENEWED

Business

First Name

GERALDINE

Middle

Last Name

GAMBOA

Business Name

GERALDINE H GAMBOA

Original Issue Date

11/01/1999

Effective Date

11/01/1999

Expiration Date

09/30/2000

City

JACKSONVILLE

State

Zip

32257

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005