LEYNARD ANTHONY MARTINEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009483

License Status

NOT RENEWED

Business

First Name

LEYNARD ANTHONY

Last Name

MARTINEZ

Business Name

LEYNARD ANTHONY MARTINEZ

Original Issue Date

05/04/1996

Effective Date

05/04/1996

Expiration Date

09/30/2000

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005