SPENCER WONG GONZAGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022298

License Status

NOT RENEWED

Business

First Name

SPENCER

Middle

WONG

Last Name

GONZAGA

Business Name

SPENCER WONG GONZAGA

Original Issue Date

08/04/2016

Effective Date

08/04/2016

Expiration Date

09/30/2018

City

REISTERSTOWN

State

Zip

21136

County

MARYLAND

Ever Disciplined

LastModifiedDate

12/05/2018