JENNIFER AGTANE SALONGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010724

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

AGTANE

Last Name

SALONGA

Business Name

JENNIFER AGTANE SALONGA

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

09/30/2000

City

TYLER

State

Zip

75701

County

TEXAS

Ever Disciplined

LastModifiedDate

10/17/2005