JED BAUTISTA BUENVIAJE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017637

License Status

ACTIVE

Business

First Name

JED

Middle

BAUTISTA

Last Name

BUENVIAJE

Business Name

JED BAUTISTA BUENVIAJE

Original Issue Date

02/17/2010

Effective Date

11/26/2024

Expiration Date

09/30/2026

City

SAIPAN

State

Zip

96950

Ever Disciplined

LastModifiedDate

07/13/2023