DANIEL RENE ROQUE - Physical Therapist License in Indiana | # 070012554

DANIEL RENE ROQUE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012554

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

RENE

Last Name

ROQUE

Business Name

DANIEL RENE ROQUE

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

09/30/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005