TIANA MARIE MANRIQUE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018338

License Status

NOT RENEWED

Business

First Name

TIANA

Middle

MARIE

Last Name

MANRIQUE

Business Name

TIANA MARIE MANRIQUE

Original Issue Date

03/04/2011

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

WAHIAWA

State

Zip

96786

Ever Disciplined

LastModifiedDate

11/28/2022