NICK VILLEGAS GABASA JR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014822

License Status

NOT RENEWED

Business

First Name

NICK

Middle

VILLEGAS

Last Name

GABASA

Suffix

Business Name

NICK VILLEGAS GABASA JR

Original Issue Date

01/27/2006

Effective Date

09/08/2008

Expiration Date

09/30/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/08/2010