ANITA ICO REYES - Physical Therapist License in Georgia | # 070011343

ANITA ICO REYES

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011343

License Status

INACTIVE

Business

N

First Name

ANITA

Middle

ICO

Last Name

REYES

Business Name

ANITA ICO REYES

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

09/30/2000

State

GA

Ever Disciplined

N

LastModifiedDate

10/17/2005