PIODEL B SUSMENA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008419

License Status

ACTIVE

Business

First Name

PIODEL B

Last Name

SUSMENA

Business Name

PIODEL B SUSMENA

Original Issue Date

10/06/1994

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

09/23/2024