PINKY A BUQUE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021765

License Status

NOT RENEWED

Business

First Name

PINKY

Middle

Last Name

BUQUE

Business Name

PINKY A BUQUE

Original Issue Date

08/19/2015

Effective Date

09/06/2016

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

47408

County

MONROE

Ever Disciplined

LastModifiedDate

12/05/2018