ERIC E MANZANO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007573

License Status

ACTIVE

Business

First Name

ERIC E

Last Name

MANZANO

Business Name

ERIC E MANZANO

Original Issue Date

05/08/1993

Effective Date

08/23/2024

Expiration Date

09/30/2026

City

CARBONDALE

State

Zip

62902

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

08/23/2024