VINCILIA LAWRENCE FERNANDES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018379

License Status

NOT RENEWED

Business

First Name

VINCILIA

Middle

LAWRENCE

Last Name

FERNANDES

Business Name

VINCILIA LAWRENCE FERNANDES

Original Issue Date

04/18/2011

Effective Date

10/02/2018

Expiration Date

09/30/2020

City

ATLANTA

State

Zip

30339

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/14/2021