MICAELA LUISA MARTINEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008186

License Status

NOT RENEWED

Business

First Name

MICAELA

Middle

LUISA

Last Name

MARTINEZ

Business Name

MICAELA LUISA MARTINEZ

Original Issue Date

04/06/2018

Effective Date

09/23/2019

Expiration Date

01/31/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/19/2022