VIVIANNE VIDENA SALAZAR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008617

License Status

NOT RENEWED

Business

First Name

VIVIANNE

Last Name

VIDENA SALAZAR

Business Name

VIVIANNE VIDENA SALAZAR

Original Issue Date

01/18/1995

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SARASOTA

State

Zip

34230

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/08/2006