MARICOR MUNOZ VILLAVICENCIO - Physical Therapist License in Indiana | # 070016556

MARICOR MUNOZ VILLAVICENCIO

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016556

License Status

ACTIVE

Business

N

First Name

MARICOR

Middle

MUNOZ

Last Name

VILLAVICENCIO

Business Name

MARICOR MUNOZ VILLAVICENCIO

Original Issue Date

08/04/2008

Effective Date

09/11/2024

Expiration Date

09/30/2026

State

IN

Ever Disciplined

N

LastModifiedDate

09/11/2024