California
Department of Consumer Affairs
FORMILLEZA ALIEZA BASMAYOR
Physical Therapists and Physical Therapist Assistants
License number
40052
Date granted
03/27/2013
Date expires
08/31/2016
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12196293
LAST UPDATED 2026-06-04 18:53:30 UTC
LAST UPDATED 2026-06-04 18:53:30 UTC
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