SEPTEMBER MELANIE LEE BUENAVENTURA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022722

License Status

ACTIVE

Business

First Name

SEPTEMBER

Middle

MELANIE LEE

Last Name

BUENAVENTURA

Business Name

SEPTEMBER MELANIE LEE BUENAVENTURA

Original Issue Date

11/29/2016

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

MENDOTA

State

Zip

61342

County

BUREAU

Ever Disciplined

LastModifiedDate

09/10/2024