GRACE B PANGANIBAN PINEDA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012509

License Status

ACTIVE

Business

First Name

GRACE

Middle

B PANGANIBAN

Last Name

PINEDA

Business Name

GRACE B PANGANIBAN PINEDA

Original Issue Date

06/13/2001

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/17/2024