DOMCIELIE BERAME ORTEZA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020604

License Status

ACTIVE

Business

First Name

DOMCIELIE

Last Name

BERAME ORTEZA

Business Name

DOMCIELIE BERAME ORTEZA

Original Issue Date

04/01/2014

Effective Date

08/25/2024

Expiration Date

09/30/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

08/25/2024