ESTELLA GRACE MASANGKAY VIGUILLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021392

License Status

NOT RENEWED

Business

First Name

ESTELLA GRACE

Middle

MASANGKAY

Last Name

VIGUILLA

Business Name

ESTELLA GRACE MASANGKAY VIGUILLA

Original Issue Date

06/17/2015

Effective Date

09/20/2018

Expiration Date

09/30/2020

City

MORRISON

State

Zip

61270

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021