CIELITO T BIHASA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010157

License Status

NOT RENEWED

Business

First Name

CIELITO T

Last Name

BIHASA

Business Name

CIELITO T BIHASA

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

09/30/2004

City

FORT WAYNE

State

Zip

46818

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005