MARIA DOLORES S MENZEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006825

License Status

NOT RENEWED

Business

First Name

MARIA DOLORES S

Last Name

MENZEN

Business Name

MARIA DOLORES S MENZEN

Original Issue Date

01/22/1992

Effective Date

01/22/1992

Expiration Date

09/30/2004

City

SOUTH BEND

State

Zip

46637

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005