ARCHIE PHILIP BOCO BASILAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025626

License Status

NOT RENEWED

Business

First Name

ARCHIE PHILIP

Middle

BOCO

Last Name

BASILAN

Business Name

ARCHIE PHILIP BOCO BASILAN

Original Issue Date

10/26/2020

Effective Date

10/26/2020

Expiration Date

09/30/2022

City

SALISBURY

State

Zip

21804

Ever Disciplined

LastModifiedDate

11/28/2022