License Directory

Agnes Leonia Van De Put

Active

California license 25323

License

Licensed by
Physical Therapy Board of California
License number
25323
Status
Active (Current)
First issued
July 21, 2000
Expires
March 31, 2028
License holder
Agnes Leonia Van De Put
Entity type
Individual

Classifications

More from the license record

License type code
7201

Contact

Sebastopol, CA 95472
Sonoma County