STEPHANIE LOURDES FADRIGA CRUZ - Physical Therapist License in Michigan | # 070024189

STEPHANIE LOURDES FADRIGA CRUZ

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024189

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

LOURDES FADRIGA

Last Name

CRUZ

Business Name

STEPHANIE LOURDES FADRIGA CRUZ

Original Issue Date

02/27/2019

Effective Date

09/08/2020

Expiration Date

09/30/2022

State

MI

Ever Disciplined

N

LastModifiedDate

11/28/2022