MARIEL DE VERA VISCONDE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018847

License Status

ACTIVE

Business

First Name

MARIEL

Middle

DE VERA

Last Name

VISCONDE

Business Name

MARIEL DE VERA VISCONDE

Original Issue Date

11/07/2011

Effective Date

08/15/2024

Expiration Date

09/30/2026

City

PINGREE GROVE

State

Zip

60140

Ever Disciplined

LastModifiedDate

08/15/2024