RAINIER RATILLA ALBA - Physical Therapist License in Indiana | # 070017102

RAINIER RATILLA ALBA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017102

License Status

NOT RENEWED

Business

N

First Name

RAINIER

Middle

RATILLA

Last Name

ALBA

Business Name

RAINIER RATILLA ALBA

Original Issue Date

05/19/2009

Effective Date

09/15/2010

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

01/16/2013