MARY STEPHANIE LIBERATO NOVALES - Physical Therapist License in Indiana | # 070012931

MARY STEPHANIE LIBERATO NOVALES

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012931

License Status

INACTIVE

Business

N

First Name

MARY STEPHANIE

Middle

LIBERATO

Last Name

NOVALES

Business Name

MARY STEPHANIE LIBERATO NOVALES

Original Issue Date

03/15/2002

Effective Date

03/15/2002

Expiration Date

09/30/2004

State

IN

Ever Disciplined

N

LastModifiedDate

09/01/2006