WILFREDO A GERONIMO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006878

License Status

NOT RENEWED

Business

First Name

WILFREDO A

Last Name

GERONIMO

Business Name

WILFREDO A GERONIMO

Original Issue Date

03/31/1992

Effective Date

03/31/1992

Expiration Date

09/30/1998

City

PLAINFIELD

State

Zip

46168

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005