REAGAN MANDIADE MELAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019489

License Status

NOT RENEWED

Business

First Name

REAGAN

Middle

MANDIADE

Last Name

MELAD

Business Name

REAGAN MANDIADE MELAD

Original Issue Date

08/31/2012

Effective Date

09/10/2018

Expiration Date

09/30/2020

City

MIAMI GARDENS

State

Zip

33169

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021