LAUREN M MEDINA - Physical Therapist License in Indiana | # 070015760

LAUREN M MEDINA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015760

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Middle

M

Last Name

MEDINA

Business Name

LAUREN M MEDINA

BusinessDBA

BRANNON

Original Issue Date

05/15/2007

Effective Date

10/01/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021