IVY MAE FETALINO - Physical Therapist License in Florida | # 160004301

IVY MAE FETALINO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004301

License Status

NOT RENEWED

Business

N

First Name

IVY

Middle

MAE

Last Name

FETALINO

Business Name

IVY MAE FETALINO

Original Issue Date

06/08/2004

Effective Date

01/06/2010

Expiration Date

09/30/2011

State

FL

Ever Disciplined

N

LastModifiedDate

11/04/2011