Iowa
Professional Licensing Bureau
AMANTE ASUNCION AGBANNAOAG
Physical And Occupational Therapy - Physical Therapist
License number
01747
Date granted
04/01/1991
Date expires
01/15/2002
Class
Physical And Occupational Therapy - Physical Therapist
Status
Revoked
Address
11010 LAFAYETTE PLZ #1612 OMAHA NE 68154
iowalicenses.org
ID 24166157
LAST UPDATED 2024-04-25 19:23:21 UTC
LAST UPDATED 2024-04-25 19:23:21 UTC
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