ALEILI GRACE MEDINA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006723

License Status

ACTIVE

Business

First Name

ALEILI GRACE

Last Name

MEDINA

Business Name

ALEILI GRACE MEDINA

Original Issue Date

01/22/1992

Effective Date

08/17/2024

Expiration Date

09/30/2026

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

08/17/2024