ERWIN RENAN I DACLAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023317

License Status

NOT RENEWED

Business

First Name

ERWIN RENAN

Middle

Last Name

DACLAN

Business Name

ERWIN RENAN I DACLAN

Original Issue Date

09/11/2017

Effective Date

08/09/2018

Expiration Date

09/30/2020

City

DELRAY BEACH

State

Zip

33484

Ever Disciplined

LastModifiedDate

01/14/2021