MIGUELITO A PERENA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007707

License Status

INACTIVE

Business

First Name

MIGUELITO A

Last Name

PERENA

Business Name

MIGUELITO A PERENA

Original Issue Date

08/13/1993

Effective Date

08/13/1993

Expiration Date

09/30/2000

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005