CLARISSE DAWN BALBONTIN GEMOTO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016649

License Status

NOT RENEWED

Business

First Name

CLARISSE DAWN

Middle

BALBONTIN

Last Name

GEMOTO

Business Name

CLARISSE DAWN BALBONTIN GEMOTO

Original Issue Date

08/26/2008

Effective Date

09/14/2020

Expiration Date

09/30/2022

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/28/2022