Indiana
Professional Licensing Agency
JUN MAXIMO FUENTESPINA LASCO
Physical Therapist
License number
05006393A
Date granted
12/15/1998
Date expires
06/30/2002
Class
Physical Therapist
Status
Expired
Address
Bloomfield NJ 07003
indianalicensing.org
ID 8368247
LAST UPDATED 2024-05-13 18:08:41 UTC
LAST UPDATED 2024-05-13 18:08:41 UTC
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