JUSTINE MAE A BAUTISTA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008775

License Status

INACTIVE

Business

First Name

JUSTINE MAE A

Last Name

BAUTISTA

Business Name

JUSTINE MAE A BAUTISTA

Original Issue Date

05/06/1995

Effective Date

05/06/1995

Expiration Date

09/30/2002

City

FAIRFAX

State

Zip

22033

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/17/2005