Michigan
Department of Licensing and Regulation
JASON FONTANILLA BALAJADIA
Physical Therapy - Physical Therapist
License number
5501011524
Date granted
04/30/2003
Date expires
07/31/2010
Class
Physical Therapy - Physical Therapist
Status
Lapsed
Address
michiganlicensing.org
ID 39290337
LAST UPDATED 2024-04-10 16:35:16 UTC
LAST UPDATED 2024-04-10 16:35:16 UTC
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