Jonathan Edora Bautista
ActiveMichigan license 5501012177
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5501012177
- Status
- Active
- First issued
- December 1, 2004
- Expires
- December 1, 2027
- License holder
- Jonathan Edora Bautista
- Entity type
- Individual
Classifications
- Physical Therapist Therapy & Rehabilitation