DIVINE GRACE OCAMPO RODRIGUEZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011367

License Status

INACTIVE

Business

First Name

DIVINE GRACE

Middle

OCAMPO

Last Name

RODRIGUEZ

Business Name

DIVINE GRACE OCAMPO RODRIGUEZ

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

09/30/2004

City

ENGLEWOOD

State

Zip

07631

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/01/2006