Ericson Gozum Villanueva
ActiveMichigan license 5501012802
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5501012802
- Status
- Active
- First issued
- April 17, 2006
- Expires
- April 17, 2028
- License holder
- Ericson Gozum Villanueva
- Entity type
- Individual
Classifications
- Physical Therapist Therapy & Rehabilitation