GAUDENCIA BUSLON LUNGAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020638

License Status

NOT RENEWED

Business

First Name

GAUDENCIA

Middle

BUSLON

Last Name

LUNGAY

Business Name

GAUDENCIA BUSLON LUNGAY

Original Issue Date

04/30/2014

Effective Date

08/15/2014

Expiration Date

09/30/2016

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

11/26/2016