MARIA ANGELICA BOLANOS SAN ROQUE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022000

License Status

NOT RENEWED

Business

First Name

MARIA ANGELICA

Middle

BOLANOS

Last Name

SAN ROQUE

Business Name

MARIA ANGELICA BOLANOS SAN ROQUE

Original Issue Date

02/04/2016

Effective Date

07/19/2016

Expiration Date

09/30/2018

City

SUNRISE

State

Zip

33323

County

FLORIDA

Ever Disciplined

LastModifiedDate

12/05/2018