LOIDA LIM BACULANTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019317

License Status

NOT RENEWED

Business

First Name

LOIDA

Middle

LIM

Last Name

BACULANTA

Business Name

LOIDA LIM BACULANTA

Original Issue Date

08/07/2012

Effective Date

09/16/2014

Expiration Date

09/30/2016

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

11/26/2016