EDWARD L PONCE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010014

License Status

ACTIVE

Business

First Name

EDWARD L

Last Name

PONCE

Business Name

EDWARD L PONCE

Original Issue Date

03/05/1997

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/03/2024