MELVIN JOHN PONTOY LUCES

Business Entity
ACTIVE

Physical Therapist

LICENSED PHYSICAL THERAPIST

070015575

ACTIVE

N

MELVIN JOHN

PONTOY

LUCES

MELVIN JOHN PONTOY LUCES

02/20/2007

08/30/2024

09/30/2026

DECATUR

IL

62526

MACON

N

08/30/2024