CARL WILLIAM PENALOSA VILLAFUERTE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026303

License Status

NOT RENEWED

Business

First Name

CARL WILLIAM

Middle

PENALOSA

Last Name

VILLAFUERTE

Business Name

CARL WILLIAM PENALOSA VILLAFUERTE

Original Issue Date

10/06/2021

Effective Date

10/06/2021

Expiration Date

09/30/2022

City

SUNRISE

State

Zip

33323

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/28/2022