MARIE BERNADETTE MENDOZA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025025

License Status

NOT RENEWED

Business

First Name

MARIE BERNADETTE

Last Name

MENDOZA

Business Name

MARIE BERNADETTE MENDOZA

Original Issue Date

03/09/2020

Effective Date

08/27/2020

Expiration Date

09/30/2022

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

11/28/2022