MARIO NINO CAPITULO UMALI Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015430

License Status

ACTIVE

Business

First Name

MARIO

Middle

NINO CAPITULO

Last Name

UMALI

Business Name

MARIO NINO CAPITULO UMALI

Original Issue Date

11/16/2006

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2024