MARIE ANTONETTE BALDERAMA BONGALONTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020367

License Status

NOT RENEWED

Business

First Name

MARIE ANTONETTE

Middle

BALDERAMA

Last Name

BONGALONTA

Business Name

MARIE ANTONETTE BALDERAMA BONGALONTA

Original Issue Date

10/16/2013

Effective Date

10/16/2013

Expiration Date

09/30/2014

City

SUNRISE

State

Zip

33323

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014