DORENE G SOLAVA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003200

License Status

NOT RENEWED

Business

First Name

DORENE G

Last Name

SOLAVA

Business Name

DORENE G SOLAVA

Original Issue Date

07/28/1980

Effective Date

08/04/2020

Expiration Date

09/30/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/28/2022