Agnes Leonia Van De Put
ActiveCalifornia 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
- Physical Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7201
Contact
Sebastopol, CA 95472
Sonoma County