AMON RUCHINA BULILAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017492

License Status

NOT RENEWED

Business

First Name

AMON

Middle

RUCHINA

Last Name

BULILAN

Business Name

AMON RUCHINA BULILAN

Original Issue Date

10/28/2009

Effective Date

09/19/2012

Expiration Date

09/30/2014

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014