MARIA CECILIA DOMINGUEZ DAVA - Physical Therapist License in Indiana | # 070013422

MARIA CECILIA DOMINGUEZ DAVA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013422

License Status

NOT RENEWED

Business

N

First Name

MARIA CECILIA

Middle

DOMINGUEZ

Last Name

DAVA

Business Name

MARIA CECILIA DOMINGUEZ DAVA

Original Issue Date

03/25/2003

Effective Date

09/18/2014

Expiration Date

09/30/2016

State

IN

Ever Disciplined

N

LastModifiedDate

11/26/2016