WAPOLE GENSAYA OSALVO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021120

License Status

NOT RENEWED

Business

First Name

WAPOLE

Middle

GENSAYA

Last Name

OSALVO

Business Name

WAPOLE GENSAYA OSALVO

Original Issue Date

09/26/2014

Effective Date

09/26/2014

Expiration Date

09/30/2016

City

BRUNSWICK

State

Zip

31525

Ever Disciplined

LastModifiedDate

11/26/2016