MIVEN BEN DONATO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009638

License Status

NOT RENEWED

Business

First Name

MIVEN BEN

Last Name

DONATO

Business Name

MIVEN BEN DONATO

Original Issue Date

09/23/1996

Effective Date

09/23/1996

Expiration Date

09/30/2002

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005