License holder summary

JOSEPHINE REQUIERME AVERGONZADO is a Physical Therapist licensed to practice in Indiana. The address on file for JOSEPHINE REQUIERME AVERGONZADO is Kokomo IN 46902. This licensed professional license is current. The license was granted 11/06/2002 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

JOSEPHINE REQUIERME AVERGONZADO
Physical Therapist
License number
05007905A
Date granted
11/06/2002
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Kokomo IN 46902
indianalicensing.org
ID 8374137
LAST UPDATED 2024-02-10 14:41:46 UTC

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