MAEVRYL CHARM ERCE MANGUSSAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024083

License Status

NOT RENEWED

Business

First Name

MAEVRYL

Middle

CHARM ERCE

Last Name

MANGUSSAD

Business Name

MAEVRYL CHARM ERCE MANGUSSAD

Original Issue Date

11/08/2018

Effective Date

11/08/2018

Expiration Date

09/30/2020

City

SUNRISE

State

Zip

33323

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021