LEAH E ENRIQUEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007199

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

Last Name

ENRIQUEZ

Business Name

LEAH E ENRIQUEZ

Original Issue Date

07/29/2015

Effective Date

08/21/2017

Expiration Date

09/30/2019

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/13/2020