CHARLES FLORENTINO ROM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018940

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

FLORENTINO

Last Name

ROM

Business Name

CHARLES FLORENTINO ROM

Original Issue Date

02/07/2012

Effective Date

09/10/2012

Expiration Date

09/30/2014

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014