VIVIENE NERIZ VILLANUEVA VICEDO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023338

License Status

NOT RENEWED

Business

First Name

VIVIENE

Middle

NERIZ VILLANUEVA

Last Name

VICEDO

Business Name

VIVIENE NERIZ VILLANUEVA VICEDO

Original Issue Date

09/21/2017

Effective Date

08/10/2020

Expiration Date

09/30/2022

City

MERIDEN

State

Zip

06450

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/28/2022