VINCILIA LAWRENCE FERNANDES - Physical Therapist License in Georgia | # 070018379

VINCILIA LAWRENCE FERNANDES

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018379

License Status

NOT RENEWED

Business

N

First Name

VINCILIA

Middle

LAWRENCE

Last Name

FERNANDES

Business Name

VINCILIA LAWRENCE FERNANDES

Original Issue Date

04/18/2011

Effective Date

10/02/2018

Expiration Date

09/30/2020

State

GA

Ever Disciplined

N

LastModifiedDate

01/14/2021