ISAGANI TOLENTINO MEJIA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015570

License Status

NOT RENEWED

Business

First Name

ISAGANI

Middle

TOLENTINO

Last Name

MEJIA

Business Name

ISAGANI TOLENTINO MEJIA

Original Issue Date

02/15/2007

Effective Date

02/15/2007

Expiration Date

09/30/2008

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Ever Disciplined

LastModifiedDate

11/06/2008