ELEJA MAPILI BALANGUE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006813

License Status

INACTIVE

Business

First Name

ELEJA MAPILI

Last Name

BALANGUE

Business Name

ELEJA MAPILI BALANGUE

Original Issue Date

01/06/1992

Effective Date

01/06/1992

Expiration Date

09/30/1992

City

SAVANNAH

State

Zip

31419

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/14/2005