MIRESA REGACHO YAMAMOTO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021267

License Status

NOT RENEWED

Business

First Name

MIRESA

Middle

REGACHO

Last Name

YAMAMOTO

Business Name

MIRESA REGACHO YAMAMOTO

Original Issue Date

02/06/2015

Effective Date

09/26/2016

Expiration Date

09/30/2018

City

GREENACRES

State

Zip

33413

County

FLORIDA

Ever Disciplined

LastModifiedDate

12/05/2018