DIANE A ENRIQUEZ - Physical Therapist License in Georgia | # 070010731

DIANE A ENRIQUEZ

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010731

License Status

INACTIVE

Business

N

First Name

DIANE

Middle

A

Last Name

ENRIQUEZ

Business Name

DIANE A ENRIQUEZ

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

09/30/2002

State

GA

Ever Disciplined

N

LastModifiedDate

10/17/2005