JETRO M TENERIFE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014277

License Status

INACTIVE

Business

First Name

JETRO

Middle

Last Name

TENERIFE

Business Name

JETRO M TENERIFE

Original Issue Date

01/04/2005

Effective Date

01/04/2005

Expiration Date

09/30/2006

City

DELAND

State

Zip

32724

Ever Disciplined

LastModifiedDate

07/13/2006