BABY RUTH LAPITAN GONZALES Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021465

License Status

INACTIVE

Business

First Name

BABY RUTH

Middle

LAPITAN

Last Name

GONZALES

Business Name

BABY RUTH LAPITAN GONZALES

Original Issue Date

08/06/2015

Effective Date

07/12/2016

Expiration Date

09/30/2018

City

ELMHURST

State

Zip

11373

Ever Disciplined

LastModifiedDate

07/07/2018