WILFREDO B CLAVECILLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007681

License Status

NOT RENEWED

Business

First Name

WILFREDO B

Last Name

CLAVECILLA

Business Name

WILFREDO B CLAVECILLA

Original Issue Date

07/19/1993

Effective Date

07/19/1993

Expiration Date

09/30/2004

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005