RONALDO BASTO COLOMA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014683

License Status

ACTIVE

Business

First Name

RONALDO

Middle

BASTO

Last Name

COLOMA

Business Name

RONALDO BASTO COLOMA

Original Issue Date

06/03/2005

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

09/16/2024