MIGUELITO A PERENA - Physical Therapist License in Indiana | # 070007707

MIGUELITO A PERENA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007707

License Status

INACTIVE

Business

N

First Name

MIGUELITO A

Last Name

PERENA

Business Name

MIGUELITO A PERENA

Original Issue Date

08/13/1993

Effective Date

08/13/1993

Expiration Date

09/30/2000

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005