ANITA ICO REYES Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011343

License Status

INACTIVE

Business

First Name

ANITA

Middle

ICO

Last Name

REYES

Business Name

ANITA ICO REYES

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

09/30/2000

City

DUBLIN

State

Zip

31021

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/17/2005